DESTAN MUSGROVE
NPI 1356154470
Nurse Practitioner - Family in Cordele, GA

Q: What is Destan Musgrove's NPI number?

The NPI number for Destan Musgrove is 1356154470. It was assigned to this individual provider in the NPPES registry on January 31, 2025.

Q: What is Destan Musgrove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Destan Musgrove was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2025PECOS Enrolled

201 E 16TH AVE, CORDELE, GA 31015(229) 273-8501(877) 325-1992 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Destan Musgrove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTAN MUSGROVE (NPI 1356154470) is an individual family provider in Cordele, Georgia, licensed in Georgia (RN268562) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356154470

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDESTAN MUSGROVE

Location Address201 E 16TH AVECordele, GA 31015-1623

Mailing Address201 E 16th AveCordele, GA 31015-1623 · (229) 273-8501 · Fax (877) 325-1992

Phone(229) 273-8501

Fax(877) 325-1992

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 31, 2025

NPPES CertifiedJanuary 31, 2025

✔ NPI 1356154470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN268562

201 E 16TH AVE, Cordele, GA 31015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destan Musgrove is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082137385

PECOS Enrollment IDI20250327001596

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Destan Musgrove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stevens Health Services PC

Same address

Internal Medicine

201 E 16TH AVE
Cordele, GA 31015

Reassigned Medicare billing, Georgia enrollment
10 clinicians in this Medicare group

NPI 1467779082 (229) 273-8501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110104

Location902 7th Street NorthCordele, GA 31015 · Crisp County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRILEE KEEN SMITH

Nurse Practitioner (Family)