MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) – Nurse Practitioner, NPI 1992312607

MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) is a healthcare provider. based in Palmer, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN2272788 (MA). The NPI Number for MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) is 1992312607

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC)
NPI
1992312607
Phone
(413) 883-5215
Address
213 OLD WARREN RD
Enumeration Date
26 September 2020
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083341000
Graduation Year
2020 (6 years ago)
PAC ID
9931517992
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20210413001136
Address ID
MA016550002WO55XXXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC)

  • 213 OLD WARREN RD

    PALMER, MA 010699810

    Phone: (413) 883-5215

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (508) 856-1168

    Fax: (508) 856-4224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-04-13

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
I20210413001136INurse PractitionerMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6852$0
99239Hospital discharge day management, more than 30 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 01069)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC)'s NPI?
Yes. MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) is listed with NPI 1992312607 in the public NPI dataset.
Can I rely on MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) being an active provider?
As of the registry snapshot, MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) is marked active.
What is MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) best known for clinically?
Directory data describes MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC)?
MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC)'s geographic hint is Palmer, Massachusetts in our summary view.
Why does MRS. JESSICA LYNN MORAN DESAUTELS (FNP-BC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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