Nicholas Desorbo, APRN in Glastonbury, CT - Medicare Nurse Practitioner

Nicholas Desorbo, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Glastonbury, Connecticut. His current practice location is 63 Eastern Blvd, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 368-0862.

Nicholas Desorbo is licensed to practice in Connecticut (license number 12.007374) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285150946.

Contact Information

	Nicholas Desorbo, APRN
	63 Eastern Blvd, Glastonbury, CT 06033-1207
	(860) 368-0862
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Desorbo
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	63 Eastern Blvd, Glastonbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285150946
Provider Enumeration Date: 08/15/2017
Last Update Date: 05/22/2026

Medicare PECOS Information:

PECOS PAC ID: 5092072413
Enrollment ID: I20181001002030

Medical Identifiers

Medical identifiers for Nicholas Desorbo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285150946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	12.007374 (Connecticut)	Primary
363LF0000X	Nurse Practitioner - Family	12.007374 (Connecticut)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Desorbo allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

Entity Name	Bristol Hospital Multi-specialty Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960

Entity Name	Hartford Healthcare Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Desorbo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Desorbo, APRN 63 Eastern Blvd, Glastonbury, CT 06033-1207 Ph: (318) 955-2963	Nicholas Desorbo, APRN 63 Eastern Blvd, Glastonbury, CT 06033-1207 Ph: (860) 368-0862

Reviews and Comments

Nurse Practitioner Nurses in Glastonbury, CT

Mrs. Laura Elizabeth Gabriel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2389 Main St Ste 100, Glastonbury, CT 06033 Phone: 860-777-5829
Madison Lee Corsini, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329
Ms. Amanda Marie Swan, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Welles St Ste 215, Glastonbury, CT 06033 Phone: 860-325-2679 Fax: 860-316-4064
Dr. Bharat Bhushan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 241 Paxton Way, Glastonbury, CT 06033 Phone: 860-593-0920
Linda Marie Scillia, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave Ste 203, Glastonbury, CT 06033 Phone: 860-946-0447
Nicole Fearon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329
Jennifer Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 Main St, Glastonbury, CT 06033 Phone: 860-968-0430 Fax: 860-968-0431

Nicholas Desorbo, APRN - Medicare Nurse Practitioner in Glastonbury, CT