Skip to content

Jordan Kimberly Desruisseaux, PA-C

NPI 1649537143ActiveIndividual· Physician Assistant· Punta Gorda, FL

Physician Assistant (PA-C) in Punta Gorda, Florida, licensed in FL, with an NPI issued in April 2012. 389 Medicare patients in 2024, $46,271 paid; nearly all of their 312 Part D prescriptions were generic (97%).

Overview

NPI1649537143
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedApr 20, 2012
Last updated in NPPESJan 28, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9106527FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MD)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients389
Services billed426 across 19 procedure codes
Paid by Medicare$46,271

Part D prescriptions in 2024

Prescriptions (claims)312 · 324 30-day fills
Patients171
Total drug cost$2,018
Generic share97% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Punta Gorda

All 15 physician assistants in Punta Gorda · All physician assistants in Florida