Individual provider Active NPI

Cassandra Calero

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1124820022
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11037691 Issued in FL
Practice address
12211 Regency Village Dr
Orlando, FL 32821-7813
Phone
(888) 322-5045
NPI assigned
Mar 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11037691 FL Primary

Addresses

Primary practice location

12211 Regency Village Dr
Orlando, FL 32821-7813

Mailing address

12211 Regency Village Dr
Orlando, FL 32821-7813
Phone (888) 322-5054

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
I20250428004035 FL Practitioner - Nurse Practitioner 3476079997

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4655 Salisbury Rd
Suite 110
Jacksonville, FL 32256-0957

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Heathrow, FL, CCN 687134
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Enhabit Home Health Home health agency, Orlando, FL, CCN 109494
  • Family Home Care Group LLC Home health agency, Orlando, FL, CCN 103144
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11037691FLMDNurse Practitioner

Hospital & facility affiliations 6

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1124820022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 REGENCY VILLAGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217813",
            "telephone_number": "888-322-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 REGENCY VILLAGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217813",
            "telephone_number": "888-322-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11037691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.