MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) – Family Nurse Practitioner, NPI 1093316820

MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 192699 (GA). The NPI Number for MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) is 1093316820

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN)
NPI
1093316820
Phone
(860) 461-5923
Address
30 MYRTLEWOOD DR
Enumeration Date
6 November 2020
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887720076
Graduation Year
2020 (6 years ago)
PAC ID
3274911755
Group Practice PAC ID
7618306721
Professional Enrollment ID
I20230106001946
Address ID
GA306552054MO704XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:5State licenses:3Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN)

  • 30 MYRTLEWOOD DR

    SAVANNAH, GA 314051024

    Phone: (860) 461-5923

    Type: Mailing

  • 1053 CENTER STREET

    SC HOUSE CALLS INC

    WEST COLUMBIA, SC 29169

    Phone: (800) 491-0909

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-03-30 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$40
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: 2023-01-06

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
I20230106001946INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes59598$0
99316Nursing facility discharge management, more than 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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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: 7618306721View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal Medicine, HospitalistGA
P S Y C H I A T R YGA
Internal MedicineAR

Reviews

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Frequently asked questions

How do I look up MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) by NPI?
Use NPI 1093316820 when you need to reference MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) in forms, claims, or directories.
Is MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) work in?
You can think of MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN)?
We surface Savannah, Georgia for MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN) based on available NPPES addresses.
How can I contact MRS. ODYNE ROSE LACOSSIERE-DORVILUS (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.