Individual provider Active NPI

Casey Edwards, FNP-BC

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1245587393
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3394102 Issued in FL
Practice address
1635 Wells Rd Ste 3
Orange Park, FL 32073-2303
Phone
(904) 300-5949
Fax
(904) 592-5886
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 ARNP3394102 FL Primary

Addresses

Primary practice location

1635 Wells Rd Ste 3
Orange Park, FL 32073-2303

Mailing address

1635 Wells Rd Ste 3
Orange Park, FL 32073-2303
Phone (904) 300-5949

Other identifiers 1

IdentifierTypeStateIssuer
007142800MedicaidFL

Other names 1

  • Ms. Casey Leann Todd 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
I20121003000202 FL Practitioner - Nurse Practitioner 6406005669 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotech Inc CurrentSince Sep 25, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 18, 2022 Accepting new patients
One Med Inc. CurrentSince Nov 18, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 18, 2022 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3360 County Road 220
Middleburg, FL 32068
Phone (904) 291-2221

930 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-0500

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3100 US Highway 1 S
Ste 2
Saint Augustine, FL 32086
Phone (904) 797-2756

Interoperability endpoints

  • Direct secure messaging: casey.edwards.1@32268.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1245587393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 WELLS RD STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732303",
            "telephone_number": "904-300-5949",
            "fax_number": "904-592-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 WELLS RD STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732303",
            "telephone_number": "904-300-5949",
            "fax_number": "904-592-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3394102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007142800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "TODD",
            "middle_name": "LEANN",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.