Individual provider Active NPI

Cassandre Alcemora, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1255018313
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018075 Issued in FL
Practice address
671 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141
Phone
(754) 204-6077
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 11018075 FL Primary

Addresses

Primary practice location

671 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141

Mailing address

1972 Brookside St NE
Palm Bay, FL 32907
Phone (754) 204-6077

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
I20240419000056 FL Practitioner - Nurse Practitioner 3678912946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Linq LLCGroup PAC ID 0345476081, 3 clinicians

Practice addresses (Care Compare)

671 SE Port St Lucie Blvd
Port Saint Lucie, FL 34984-5141
Phone (772) 353-5716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018075FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Linq LLC CurrentSince Mar 11, 2024 Accepting new patients

Locations

671 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (772) 223-8777

621 SE Port St Lucie Blvd
Ste 621B
Port St Lucie, FL 34984

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cassandre.alcemora@cll-fl1.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1255018313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 BROOKSIDE ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "754-204-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "754-204-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCEMORA",
        "first_name": "CASSANDRE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.