David Derosier, ACNPC-AG, CPNP-AC
NPI 1053935072 · Acute Care Nurse Practitioner · Worcester, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1053935072
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG, CPNP-AC
- Sex
- Male
- Sole proprietor
- No
- License
- RN269379 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
- 123 Summer StWorcester, MA 01608-1216Phone: (508) 363-5000
- 119 Belmont StWorcester, MA 01605-2903Phone: (774) 441-6468Fax: (508) 793-6315
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (774) 441-6468Fax: (508) 793-6315
Registry dates
- Enumerated
- 2020-06-05
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.