Individual provider Active NPI

Cassidy Donnarumma

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1073342275
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035943 Issued in FL
Practice address
1221 Jacaranda Blvd
Venice, FL 34292-4520
Phone
(407) 776-6924
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9489664 FL
Family Nurse Practitioner 363LF0000X 11035943 FL Primary

Addresses

Primary practice location

1221 Jacaranda Blvd
Venice, FL 34292-4520

Mailing address

1221 Jacaranda Blvd
Venice, FL 34292-4520

Other practice location 1

1847 Westerham Ave
Saint Cloud, FL 34771-7691
Phone (732) 535-3430

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
I20241227002406 FL Practitioner - Nurse Practitioner 4981131208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1221 Jacaranda Blvd
Venice, FL 34292-4520
Phone (941) 766-5069

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

713 E Marion Ave
Punta Gorda, FL 33950-3862

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9489664FLMDRegistered Nurse
11035943FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC CurrentSince Nov 1, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 3, 2025 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Aug 3, 2025 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1221 Jacaranda Blvd
Venice, FL 34292
Phone (941) 492-5666

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: cdonnarumma4499622@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1073342275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "407-776-6924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 Westerham Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347717691",
            "country_code": "US",
            "telephone_number": "732-535-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNARUMMA",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9489664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.