Individual provider Active NPI

Cassandra Rosebraugh, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1144880980
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN1102683 Issued in FL
Practice address
2340 Commerce Point Dr
Lakeland, FL 33801-6880
Phone
(863) 709-8543
Fax
(863) 688-2520
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 APRN1102683 FL Primary

Addresses

Primary practice location

2340 Commerce Point Dr
Lakeland, FL 33801-6880

Mailing address

504 W Cherry St
Plant City, FL 33563-2314
Phone (813) 446-3266

Other practice location 1

110 E Reynolds St Ste 802
Plant City, FL 33563-3371
Phone (813) 666-4060

Other names 1

  • Cassandra Beck Former name

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
I20190716003532 FL Practitioner - Nurse Practitioner 5294060083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E Reynolds St
Suite 802
Plant City, FL 33563-3371
Phone (813) 666-4060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1102683FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Human Services, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 26, 2025 Accepting new patients
Cassa Place, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

100 W College Dr
Bldg E
Avon Park, FL 33825
Phone (863) 452-0106

2340 Commerce Point Dr
Lakeland, FL 33801
Phone (863) 709-8543

2330 Commerce Point Dr
Lakeland, FL 33801
Phone (863) 221-9494

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

110 E Reynolds St
Ste 802
Plant City, FL 33563
Phone (813) 666-4060

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1144880980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W CHERRY ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632314",
            "telephone_number": "813-446-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 COMMERCE POINT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016880",
            "telephone_number": "863-709-8543",
            "fax_number": "863-688-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Reynolds St Ste 802",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335633371",
            "country_code": "US",
            "telephone_number": "813-666-4060",
            "fax_number": "813-355-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEBRAUGH",
        "first_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN1102683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "BECK",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.