PHARA DESRAVINES
NPI 1467209510
Nurse Practitioner - Family in Pembroke Pines, FL

Q: What is Phara Desravines's NPI number?

The NPI number for Phara Desravines is 1467209510. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Q: What is Phara Desravines'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 Phara Desravines was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 06, 2024PECOS Enrolled

1154 NW 100TH AVE, PEMBROKE PINES, FL 33024(305) 336-7457 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, May 6, 2024 (2 updates tracked since 2024).

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About Phara Desravines NPPES

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

PHARA DESRAVINES (NPI 1467209510) is an individual family provider in Pembroke Pines, Florida, licensed in New York (354035) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467209510

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePHARA DESRAVINES

Location Address1154 NW 100TH AVEPembroke Pines, FL 33024-4376

Mailing Address1154 Nw 100th AvePembroke Pines, FL 33024-4376 · (305) 336-7457

Phone(305) 336-7457

Sole ProprietorYes

Enumeration DateMay 6, 2024

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1467209510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 354035

Also ListedNurse PractitionerTaxonomy 363L00000X · License 354035 (NY)

1154 NW 100TH AVE, Pembroke Pines, FL 33024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33024 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phara Desravines's NPI number?

The NPI number for Phara Desravines is 1467209510. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Phara Desravines located?

Phara Desravines practices at 1154 NW 100th Ave, Pembroke Pines, FL 33024. The listed phone number is (305) 336-7457.

What is Phara Desravines's specialty?

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

Is Phara Desravines enrolled in Medicare?

Yes. Phara Desravines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phara Desravines was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.