Individual provider

Theodora Desronvil, FNP-BC

Family Nurse Practitioner Registered Nurse Medicare enrolled

Theodora Desronvil, FNP-BC is a Family Nurse Practitioner in Rocky Mount, NC, registered under NPI 1902394067. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 300 N GRACE ST, Rocky Mount, NC 27804. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

300 N GRACE ST, Rocky Mount, NC 27804 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5010560 NC Family Nurse Practitioner primary
303827 NC Registered Nurse

This provider holds licence 5010560 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
1951739085
Enrollment ID
I20200323003571

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 5010560 NC primary
163W00000X Registered Nurse 303827 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1902394067 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 24, 2018
Last updatedJun 10, 2020
StatusActive
Sole proprietorYes
CredentialFNP-BC
Practice address 300 N GRACE ST
Rocky Mount, NC 27804
(252) 210-9856
Fax (252) 822-5065
Mailing address PO BOX 2723
Rocky Mount, NC 27802
The last update on file is Jun 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1902394067 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 0 2 3 9 4 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 0 2 6 9 8 0 3

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1902394067?
NPI 1902394067 is the National Provider Identifier assigned to Theodora Desronvil, FNP-BC in Rocky Mount, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Theodora Desronvil, FNP-BC?
The phone number on file with NPPES is (252) 210-9856, last updated Jun 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Theodora Desronvil, FNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1902394067 a valid number?
Yes. 1902394067 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.