NPPES file of Aug 9, 2026

Destiny Debora Coley Refuse, APRN

Psychiatric/Mental Health Nurse Practitioner · Safety Harbor, FL

Destiny Debora Coley Refuse, APRN is a psychiatric/mental health nurse practitioner with a practice address in Safety Harbor, Florida, and NPI 1982250205, issued on Aug 13, 2019. Check the license (Florida APRN11003699, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982250205
Name
Destiny Debora Coley Refuse
Credential
APRN
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
APRN11003699 FL
Self-reported in NPPES; status is on the state search
Practice location
100 Main St Ste 203, Safety Harbor, FL 34695
Phone
(727) 799-4150
Enumerated
Aug 13, 2019
Record last updated
Sep 17, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(727) 796-1845
Medicaid ID
106806700 FL
Medicare enrollment
Enrolled (PECOS I20191001000066); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 Main St Ste 203

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Francis Butler, M.D.Psychiatry Physician1922131234
  2. Monique Cuthbertson, APRNPsychiatric/Mental Health Nurse Practitioner1962007104

Verify Destiny Debora Coley Refuse in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license APRN11003699
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.4 times the Medicare Part D claims of the average psychiatric/mental health nurse practitioner in 2024

2,147 Medicare Part D claims for 189 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.

  1. Destiny Refuse2,147
  2. Specialty average906

Most prescribed

  1. Alprazolam306 claims
  2. Clonazepam188 claims
  3. Buspirone Hcl124 claims
  4. Duloxetine Hcl120 claims
  5. Escitalopram Oxalate108 claims
  6. Trazodone Hcl100 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $224.97

10 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Destiny Refuse$224.97
  2. Specialty average$1,027.77

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Grow Healthcare Group PAMiami, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Destiny Debora Coley Refuse among 4,715 psychiatric/mental health nurse practitioner records in Florida

Destiny Debora Coley Refuse, APRN is one of 4,715 psychiatric/mental health nurse practitioner records with a practice address in Florida. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 33% of them.

  • NPI issued2019 · 33% of these records are older, 62% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2019 · median 2021 among the 2,622 with a school on file
  • Record last updated2020 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Florida

There are 4,715 psychiatric/mental health nurse practitioner records in Florida.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Monique Cuthbertson, APRNSafety Harbor, FL 346951962007104
  2. Nicole Robichaux, ARNP, PSYDSafety Harbor, FL 346951871600775
  3. Susan Wilson, PMHNPSafety Harbor, FL 346951104563105
  4. Dawn Heckman, APRNDunedin, FL 346981205600228
  5. Rowdy Phillips, MSN, APRN, PMHNP-BCDunedin, FL 346981336612779
  6. Michelle Thomas, APRN, PMHNP-BCDunedin, FL 346981700323748
  7. Ada OjoboHoliday, FL 346901659086718
  8. Jessica Swauger, ARNP, PMHNP-BCTarpon Springs, FL 346891477413516

Common questions

What is Destiny Debora Coley Refuse, APRN's NPI number?

Destiny Debora Coley Refuse, APRN's National Provider Identifier (NPI) is 1982250205, issued on Aug 13, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Destiny Debora Coley Refuse, APRN located?

The NPPES record lists a practice address at 100 Main St Ste 203, Safety Harbor, FL, 34695. Phone: (727) 799-4150. Providers update this record themselves, so call before visiting.

How can I verify Destiny Debora Coley Refuse, APRN's license?

NPPES lists Florida license number APRN11003699, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Destiny Debora Coley Refuse, APRN prescribe under Medicare Part D?

In 2024, Destiny Debora Coley Refuse, APRN had 2,147 Medicare Part D claims for 189 beneficiaries; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.