MR. ADAM LEE DESHONG (APRN) – Family Nurse Practitioner, NPI 1093345977

MR. ADAM LEE DESHONG (APRN) is a healthcare provider. based in Richmond, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3014212 (KY). The NPI Number for MR. ADAM LEE DESHONG (APRN) is 1093345977

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. ADAM LEE DESHONG (APRN)
NPI
1093345977
Phone
(419) 775-6907
Address
614 AUGUSTA DR
Enumeration Date
20 January 2020
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8594668956
Graduation Year
2019 (7 years ago)
PAC ID
4880049584
Group Practice PAC ID
9830344688
Professional Enrollment ID
I20231016002748
Address ID
KY405031461LE1701XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MR. ADAM LEE DESHONG (APRN)

  • 614 AUGUSTA DR

    RICHMOND, KY 404757887

    Phone: (419) 775-6907

    Type: Mailing

  • 234 BRENWOOD ST

    BEREA, KY 404031637

    Phone: (859) 985-0302

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-03-22 • Largest payer in this snapshot: PFIZER INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$13
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: 2023-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231016002748INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40475)

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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: 9830344688View full group profile
NameSpecialtyState
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What identifier follows MR. ADAM LEE DESHONG (APRN) across health systems?
The NPI 1093345977 uniquely identifies MR. ADAM LEE DESHONG (APRN) in U.S. healthcare data.
Should I treat MR. ADAM LEE DESHONG (APRN) as an active provider?
Patients and plans typically see MR. ADAM LEE DESHONG (APRN) as active in the national extract.
What type of care does MR. ADAM LEE DESHONG (APRN) provide?
MR. ADAM LEE DESHONG (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. ADAM LEE DESHONG (APRN)?
MR. ADAM LEE DESHONG (APRN) is associated with Richmond, Kentucky in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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