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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

MRS. SANDRA JACKSON LMHC
Counselor (Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228
MS. CASSEY MARIE CUEVAS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228
SIOBHAN M DOUGLAS LCSW
Social Worker (Clinical)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228
MS. HELENA RUSSELL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228

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.

What insurance does Godlive Desravines accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 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 10 days 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.