HOLLY ANN DESMARAIS (NP-C) – Family Nurse Practitioner, NPI 1235533415

HOLLY ANN DESMARAIS (NP-C) is a healthcare provider. based in Putnam, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. CNP161017 (ME). The NPI Number for HOLLY ANN DESMARAIS (NP-C) is 1235533415

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY ANN DESMARAIS (NP-C)
NPI
1235533415
Phone
(860) 928-2736
Address
330 POMFRET ST
Enumeration Date
16 October 2014
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608599061
Graduation Year
2014 (12 years ago)
PAC ID
6002139698
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20150107001203
Address ID
CT063602146NO105XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for HOLLY ANN DESMARAIS (NP-C)

  • 330 POMFRET ST

    PUTNAM, CT 062601854

    Phone: (860) 928-2736

    Fax: (860) 928-6367

    Type: Mailing

  • 150 MANSFIELD AVE

    WILLIMANTIC, CT 062262026

    Phone: (860) 423-3299

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($131).

Total Amount

$590

General + Research + Ownership

Payments

29

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150107001203INurse PractitionerCTTBD
I20160809000833INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7974$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06260)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

Can I use this page to confirm HOLLY ANN DESMARAIS (NP-C)'s NPI?
Yes. HOLLY ANN DESMARAIS (NP-C) is listed with NPI 1235533415 in the public NPI dataset.
Is HOLLY ANN DESMARAIS (NP-C) listed as active for patients and plans?
The listing shows HOLLY ANN DESMARAIS (NP-C) as active in the NPI system.
What is HOLLY ANN DESMARAIS (NP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for HOLLY ANN DESMARAIS (NP-C) here. Clinical services aligned with this taxonomy classification.
Where is HOLLY ANN DESMARAIS (NP-C) based?
HOLLY ANN DESMARAIS (NP-C) is tied to Putnam, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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