GODLIVE DESRAVINES APRN
NPI 1750072518
Nurse Practitioner - Psychiatric/Mental Health in St Augustine, FL

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
1880 SAN SEBASTIAN VW STE 4201, ST AUGUSTINE, FL 32084(800) 539-4228 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2026, May 15, 2023 (2 updates tracked since 2023).

About Godlive Desravines Aprn NPPES

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

GODLIVE DESRAVINES APRN (NPI 1750072518) is an individual psychiatric/mental health provider in St Augustine, Florida, licensed in Florida (APRN11023834) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750072518
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGODLIVE DESRAVINESCredential: APRN
Location Address1880 SAN SEBASTIAN VW STE 4201St Augustine, FL 32084-8684
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (800) 539-4228
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 15, 2023
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1750072518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11023834
1880 SAN SEBASTIAN VW STE 4201, St Augustine, FL 32084

Secondary Practice Location 1

Location 14620 N 22nd StTampa, FL 33610-6205 · Phone (813) 397-5300 · Fax (813) 738-9034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Godlive Desravines Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557723145
PECOS Enrollment IDI20230814003050
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 Reassignments

2

Medicare enrollment records show Godlive Desravines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
420 STADIUM ROAD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
Behavioral Neurology & Neuropsychiatry
4710 N HABANA AVE STE 203
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

Counselor (Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
Social Worker (Clinical)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084

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 Godlive Desravines's NPI number?

The NPI number for Godlive Desravines is 1750072518. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Godlive Desravines located?

Godlive Desravines practices at 1880 San Sebastian Vw Ste 4201, St Augustine, FL 32084. The listed phone number is (800) 539-4228.

What is Godlive Desravines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Godlive Desravines enrolled in Medicare?

Yes. Godlive Desravines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Godlive Desravines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Godlive Desravines reassigns Medicare benefits to 2 organizations: Sma Healthcare, Inc (Daytona Beach, FL) and Tampa Neuropsychiatry (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Godlive Desravines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Godlive Desravines accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Godlive Desravines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Godlive Desravines was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.