Individual provider Active NPI

Cassidy Black Debish

  • Obstetrics & Gynecology Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1114746203
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
11035775 Issued in FL
Practice address
770 Northpoint Pkwy Ste 102
West Palm Beach, FL 33407-1901
Phone
(561) 655-3331
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 11035775 FL Primary

Addresses

Primary practice location

770 Northpoint Pkwy Ste 102
West Palm Beach, FL 33407-1901

Mailing address

3013 SW Ann Arbor Rd
Port St Lucie, FL 34953-6925

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
I20241025003747 FL Practitioner - Nurse Practitioner 0547793747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

345 Jupiter Lakes Blvd
Suite 200
Jupiter, FL 33458-7100
Phone (561) 741-1957

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035775FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Nov 1, 2024 Accepting new patients
Womencare PA Past Accepting new patients

Locations

875 Meadows Rd
Ste 325
Boca Raton, FL 33486
Phone (561) 368-8886

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

345 Jupiter Lakes Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 741-1957

2979 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 627-6801

601 SE Port St Lucie Blvd
Port St Lucie, FL 34984

1447 Medical Park Blvd
Ste 205
Wellington, FL 33414
Phone (561) 234-6599

1447 Medical Park Blvd
Ste 300
Wellington, FL 33414
Phone (561) 790-5990

770 Northpoint Pkwy
Ste 200
West Palm Beach, FL 33407
Phone (561) 555-3331

770 Northpoint Pkwy
Ste 100
West Palm Beach, FL 33407

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cassidy.black.1@13043.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1114746203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SW ANN ARBOR RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NORTHPOINT PKWY STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071901",
            "telephone_number": "561-655-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBISH",
        "first_name": "CASSIDY",
        "middle_name": "BLACK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "11035775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.