DESTINY DEBORA COLEY REFUSE APRN
NPI 1982250205
Nurse Practitioner - Psychiatric/Mental Health in Safety Harbor, FL

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
100 MAIN ST STE 203, SAFETY HARBOR, FL 34695(727) 799-4150(727) 796-1845 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2020, Aug 13, 2019 (2 updates tracked since 2019).

About Destiny Debora Coley Refuse Aprn NPPES

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

DESTINY DEBORA COLEY REFUSE APRN (NPI 1982250205) is an individual psychiatric/mental health provider in Safety Harbor, Florida, licensed in Florida (APRN11003699) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982250205
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDESTINY DEBORA COLEY REFUSECredential: APRN
Location Address100 MAIN ST STE 203Safety Harbor, FL 34695-3668
Mailing Address100 Main St Ste 203Safety Harbor, FL 34695-3668 · (727) 799-4150 · Fax (727) 796-1845
Fax(727) 796-1845
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2019
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1982250205 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 · APRN11003699
100 MAIN ST STE 203, Safety Harbor, FL 34695

Other Identifiers 1

Medicaid106806700FL

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

Destiny Debora Coley Refuse 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 ID4587994892
PECOS Enrollment IDI20191001000066
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 Destiny Refuse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
241 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34695 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 3

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

Psychiatry & Neurology (Psychiatry)
100 MAIN ST STE 203
SAFETY HARBOR, FL 34695
Psychiatry & Neurology (Psychiatry)
100 MAIN ST STE 203
SAFETY HARBOR, FL 34695
Nurse Practitioner (Psychiatric/Mental Health)
100 MAIN ST STE 203
SAFETY HARBOR, FL 34695

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 Destiny Refuse's NPI number?

The NPI number for Destiny Refuse is 1982250205. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Destiny Refuse located?

Destiny Refuse practices at 100 Main St Ste 203, Safety Harbor, FL 34695. The listed phone number is (727) 799-4150.

What is Destiny Refuse's specialty?

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

Is Destiny Refuse enrolled in Medicare?

Yes. Destiny Refuse 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 organization bills Medicare for Destiny Refuse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Refuse reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Destiny Refuse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Refuse accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Destiny Refuse 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 Destiny Refuse was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.