Megan E Deselms, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112107 Issued in FL

Practice address

13691 Metro Pkwy Ste 200
Fort Myers, FL 33912-4321

Phone

(239) 291-3604

Fax

(239) 291-3605

NPI assigned

Oct 15, 2010

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mdeselms@flcda.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Healthcare Specialists, LLC

  dba Advocate Radiation Oncology

  • Otolaryngology Physician
  • Fort Myers, FL
  • NPI 1457050106
  Medicare reassignment Care Compare group
• K Wade Foster MD PA

  dba Florida Dermatology & Skin Cancer Centers

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  Medicare reassignment
• Lisa D Zack MD PA

  • Dermatology Physician
  • Naples, FL
  • NPI 1518189927
  Medicare reassignment
• Florida Coastal Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1003812686
  NPD (past)
• Vascular Associates LLC

  • Specialist
  • Panama City, FL
  • NPI 1821129313
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1225348972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124321",
            "telephone_number": "239-291-3604",
            "fax_number": "239-291-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124321",
            "telephone_number": "239-291-3604",
            "fax_number": "239-291-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESELMS",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Solutions a Profession Limited Liability Com
• Rebecca Marie Deroche, PMHNP
• Shreeya Desai, DMD
• Christopher Michael Desantis, P.T.
• Maria Descartes
• Kalpana S. Deshmukh, MD
• Olivia Deshong
• Jacques Herve Desir, ARNP
• Laura R Desire, LCSW
• Lael Desmond, MD

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.