Individual provider Active NPI

Kelly Anne Castagna, FNP-C

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1154057982
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019524 Issued in FL
Practice address
5153 N 9TH Ave Ste 205
Pensacola, FL 32504-5719
Phone
(850) 416-2477
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11019524 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave Ste 205
Pensacola, FL 32504-5719

Mailing address

5153 N 9TH Ave Ste 205
Pensacola, FL 32504-5719
Phone (850) 416-2477

Other names 1

  • Kelly Anne Wasson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221107003211 FL Practitioner - Nurse Practitioner 9436526274 Reassigns benefits to 2 organizations
I20240306001137 AL Practitioner - Nurse Practitioner 9436526274

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

3754 Hwy 90
Suite 300
Pace, FL 32571-1098
Phone (850) 416-5510

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019524FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Mar 1, 2025 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

3754 Highway 90
Ste 300
Pace, FL 32571
Phone (850) 416-5510

5153 N 9th Ave
Ste 201
Pensacola, FL 32504
Phone (850) 416-2476

5153 N 9th Ave
Ste 205
Pensacola, FL 32504
Phone (850) 416-2550

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.

Hospital & facility affiliations 1

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1154057982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE STE 205",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045719",
            "telephone_number": "850-416-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE STE 205",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045719",
            "telephone_number": "850-416-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTAGNA",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WASSON",
            "middle_name": "ANNE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.