Individual provider Active NPI

Cassie Star Greer, ARNP

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1033420815
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN9217073 Issued in FL
Practice address
12525 Philips Hwy Ste 205&206
Jacksonville, FL 32256-3739
Phone
(904) 880-1399
Fax
(904) 880-2946
NPI assigned
Jun 28, 2010
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9217073 FL
Women's Health Nurse Practitioner 363LW0102X APRN9217073 FL Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ELIGIBLE FL

Addresses

Primary practice location

12525 Philips Hwy Ste 205&206
Jacksonville, FL 32256-3739

Mailing address

1909 Beach Blvd Ste 102
Jacksonville Beach, FL 32250-2643
Phone (904) 246-2752

Other practice location 1

1909 Beach Blvd Ste 102
Jacksonville Beach, FL 32250
Phone (904) 246-2752

Other practice location 2

1909 Beach Blvd Ste 102
Jacksonville Beach, FL 32250
Phone (904) 246-2752

Other identifiers 7

IdentifierTypeStateIssuer
710410OtherFLWELLCARE
P00929821OtherFLRAILROAD MCR
47932OtherFLUNIVERSAL HEALTHCARE
Y06YROtherFLBCBS FL
003466100MedicaidFL
P934710OtherFLOPTIMUM
P990169OtherFLFREEDOM HEALTH

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
I20110428000668 FL Practitioner - Nurse Practitioner 0042495434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McHugh Health and Wellness IncGroup PAC ID 9830508464, 4 clinicians

Practice addresses (Care Compare)

12525 Philips Hwy
Suite 205
Jacksonville, FL 32256-3741
Phone (904) 880-1399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9217073FLMDNurse Practitioner
APRN9217073FLMDWomen's Health Nurse Practitioner
ELIGIBLEFLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McHugh Health and Wellness Inc CurrentSince Mar 1, 2022 Accepting new patients
McHugh Chiropractic and Healthcare, Inc. CurrentSince Aug 13, 2023 Accepting new patients

Locations

12525 Philips Hwy
Ste 205
Jacksonville, FL 32256
Phone (904) 880-1399

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1033420815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 102",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 PHILIPS HWY STE 205&206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563739",
            "telephone_number": "904-880-1399",
            "fax_number": "904-880-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Beach Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Beach Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "CASSIE",
        "middle_name": "STAR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9217073",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9217073",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ELIGIBLE",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "710410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00929821",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTHCARE",
            "identifier": "47932",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y06YR",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003466100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P934710",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P990169",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.