Desta Anthony Mobile NP Adult Health, PLLC
NPI 1679188494 · Adult Health Nurse Practitioner · Manlius, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desta Anthony Mobile NP Adult Health, PLLC is a Adult Health Nurse Practitioner organization in Manlius, NY (NPI 1679188494).
Provider details
- NPI number
- 1679188494
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Desta Anthony, Owner(315) 559-1965
Specialties & taxonomies
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2020-09-09
- Last updated
- 2025-11-28
- Certified
- 2025-11-28
Frequently asked questions
- What is Desta Anthony Mobile NP Adult Health, PLLC's NPI number?
- Desta Anthony Mobile NP Adult Health, PLLC's National Provider Identifier (NPI) is 1679188494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desta Anthony Mobile NP Adult Health, PLLC?
- Desta Anthony Mobile NP Adult Health, PLLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Desta Anthony Mobile NP Adult Health, PLLC located?
- Desta Anthony Mobile NP Adult Health, PLLC's practice location on file with NPPES is 8241 Penstock Way, Manlius, NY 13104-9401.
- What is Desta Anthony Mobile NP Adult Health, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Desta Anthony Mobile NP Adult Health, PLLC is (315) 413-3848.
- Does Desta Anthony Mobile NP Adult Health, PLLC accept Medicare?
- Desta Anthony Mobile NP Adult Health, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Desta Anthony Mobile NP Adult Health, PLLC?
- The authorized official listed on Desta Anthony Mobile NP Adult Health, PLLC's NPPES record is Desta Anthony, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desta Anthony Mobile NP Adult Health, PLLC's NPI active?
- Yes — Desta Anthony Mobile NP Adult Health, PLLC's NPI (1679188494) is active in the NPPES registry as of the last update on 2025-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.