Destiny Debora Coley Refuse, APRN

Psychiatric/Mental Health Nurse Practitioner

Nurse Practitioner

Destiny Debora Coley Refuse is a Psychiatric/Mental Health Nurse Practitioner based in Safety Harbor, FL with over 7 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(727) 799-4150Safety Harbor, FL
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Destiny Debora Coley Refuse, APRN has been part of the Safety Harbor medical community since 2019 in group practice. With 7+ years of experience, she has been practicing in the Safety Harbor area. CMS Medicare data shows her patients commonly have high cholesterol, depression, and anxiety.

At a glance

  • Uses generic medications more than 90% of reporting doctors in Florida
  • Virtual visits available — no app or travel required
1 of 1,203 Nurse Practitioner providers in FLSee all Nurse Practitioner in Safety Harbor7+ years experienceNPI since 2019

Older · 2074dNPPES updated 2020-09-17 · verify NPI on CMS · Verify license at Florida Board of Medicine

Contact & Location

Practice Location

100 Main St Ste 203, Safety Harbor, FL 34695-3668

Fax: (727) 796-1845
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.

Generic Rx

↑ Higher = better

96%

Florida avg: 83.2 · US avg: 82.8

Higher than most doctors nationally(+13.2 pts)

Top 10% of reporting doctors in Florida

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

82

Unique beneficiaries

Standard volume

Prescription Recipients

199

Patients prescribed

Prescriptions Written

2,396

Total claims

Total Medicare drug cost: $279k

Percentile rankings compared against 5,053 reporting peers in Florida.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages High Cholesterol, Depression, and Anxiety Disorders.

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Depression
Higher than avg (+43%)75%

A mood disorder causing persistent sadness and loss of interest in activities

US avg: 31.8%

↑ More patients than average (+43%) — a focus area for this doctor

Anxiety Disorders
Higher than avg (+41%)75%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↑ More patients than average (+41%) — a focus area for this doctor

Mood Disorders
75%

Conditions affecting emotional state, including depression and bipolar disorder

Hypertension
Higher than avg (+3%)73%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+3%) — a focus area for this doctor

Bipolar Disorder
45%

A condition with extreme mood swings between emotional highs and lows

Tobacco Use Disorder
41%

Nicotine dependence and tobacco-related health complications

Arthritis
Lower than avg (-9%)40%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-9%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$225 received from industry

10 transactions reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Destiny Debora Coley Refuse's NPI.

Patient Reviews

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Board certified · Sep 16, 2020

    Self-reported via NPPES

  2. 7 years in practice

    Established

Nurse PractitionerPsychiatric/Mental Health in Safety HarborPhysician Assistants & Advanced Practice Nursing Providers

Definition to come...

Taxonomy: 363LP0808X

Virtual Psychiatric/Mental Health Care With Destiny Debora Coley Refuse

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Destiny Debora Coley Refuse for cholesterol management, depression management, anxiety counseling — no travel to Safety Harbor required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Destiny Debora Coley Refuse

Dr. Refuse is listed as active in the NPI registry with telehealth listed in Safety Harbor, FL. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (727) 799-4150.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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