Individual provider Active NPI

Cassandra Hoffman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, FL
National Provider Identifier
1003696790
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11028952 Issued in FL
Practice address
801 W Bay Dr Ste 326
Largo, FL 33770-3227
Phone
(727) 910-5916
Fax
(727) 635-2238
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11028952 FL Primary

Addresses

Primary practice location

801 W Bay Dr Ste 326
Largo, FL 33770-3227

Mailing address

801 W Bay Dr Ste 326
Largo, FL 33770-3227
Phone (727) 910-5916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220002135 FL Practitioner - Nurse Practitioner 6901256759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

1101 66TH St N
St Petersburg, FL 33710-6200
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028952FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Institute PLC CurrentSince Nov 28, 2023 Accepting new patients
Premier Vantage Psychiatry and Mental Health LLC Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients

Locations

801 West Bay Dr
Ste 326
Largo, FL 33770
Phone (727) 910-5916

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1003696790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 326",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703227",
            "telephone_number": "727-910-5916",
            "fax_number": "727-635-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 326",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703227",
            "telephone_number": "727-910-5916",
            "fax_number": "727-635-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CASSANDRA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.