DREW MARIE DESALVO (PA) – Physician Assistant, NPI 1164204467

DREW MARIE DESALVO (PA) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9118078 (FL). The NPI Number for DREW MARIE DESALVO (PA) is 1164204467

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DREW MARIE DESALVO (PA)
NPI
1164204467
Phone
(904) 202-7300
Address
1301 Palm Ave Ste 500
Enumeration Date
20 October 2023
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042027300
Graduation Year
2023 (3 years ago)
PAC ID
1153770896
Group Practice PAC ID
5991932063
Professional Enrollment ID
I20231207000485
Address ID
FL322585469JA14546RDXX500
Telehealth
Yes

Contacts

Secure Messaging
ddesalvo1959225@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness95
Years active:2State licenses:1Other names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DREW MARIE DESALVO (PA)

  • 1301 Palm Ave Ste 500

    Jacksonville, FL 322078432

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

  • PO BOX 860912

    MINNEAPOLIS, MN 554860912

    Phone: (904) 953-2000

    Type: Mailing

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $933.

Total Amount is formed as General ($933) + Research ($0) + Ownership ($0) = $933.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($878).

Total Amount

$933

General + Research + Ownership

Payments

9

Total payment records

General Amount

$933

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231207000485IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991932063View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DREW MARIE DESALVO (PA) in the U.S.?
In the U.S., DREW MARIE DESALVO (PA) is identified by NPI 1164204467.
Is DREW MARIE DESALVO (PA) currently accepting referrals based on NPI status?
Registry metadata lists DREW MARIE DESALVO (PA) as active.
What services align with DREW MARIE DESALVO (PA)'s listing?
DREW MARIE DESALVO (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DREW MARIE DESALVO (PA) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, DREW MARIE DESALVO (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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