NPIMap

Individual provider Active NPI

Courtney L Desrosiers, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1689249799
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114623 Issued in FL
Practice address
1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone
(561) 263-7010
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114623 FL Primary

Addresses

Primary practice location

1335 W Indiantown Rd
Jupiter, FL 33458-4631

Mailing address

1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone (561) 263-7010

Other practice location 1

129 S State Road 7 Ste 401
Royal Palm Beach, FL 33414-4379
Phone (561) 425-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002906 FL Practitioner - Physician Assistant 9133527716 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

6264 W Sample Rd
Coral Springs, FL 33067-3273

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group CurrentSince Sep 13, 2021 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 1, 2022 Accepting new patients
Florida Em-I Medical Services, PA Physician Assistant CurrentSince Jul 2, 2025 Accepting new patients
Florida Em-I Medical Services, PA Physician Assistant CurrentSince Jul 2, 2025 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Sep 13, 2021 Accepting new patients
West Boynton Urgent Care, LLC PastSince Aug 28, 2021 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Interoperability endpoints

  • Direct secure messaging: courtney.desrosiers.1@25843.direct.athenahealth.com

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1689249799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-263-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-263-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 S State Road 7 Ste 401",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334144379",
            "country_code": "US",
            "telephone_number": "561-425-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.