Individual provider Active NPI

Casie McCallister

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1346701406
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001968 Issued in FL
Practice address
454 S Yonge St Ste 3a
Ormond Beach, FL 32174-7501
Phone
(386) 280-4877
Fax
(386) 414-7227
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001968 FL Primary
Nurse Practitioner 363L00000X 11001968 FL

Addresses

Primary practice location

454 S Yonge St Ste 3a
Ormond Beach, FL 32174-7501

Mailing address

454 S Yonge St Ste 3a
Ormond Beach, FL 32174-7501
Phone (386) 280-4877

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
I20190614000802 FL Practitioner - Nurse Practitioner 9638402167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001968FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Wellness, LLC CurrentSince Apr 1, 2023 Accepting new patients
Southern Magnolia Health and Wellness LLC Nurse Practitioner PastSince Apr 1, 2023 Accepting new patients

Locations

533 N Nova Rd
Ste 116
Ormond Beach, FL 32174
Phone (386) 260-2653

454 S Yonge St
Ste 3A
Ormond Beach, FL 32174
Phone (386) 280-4877

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1346701406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 S YONGE ST STE 3A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747501",
            "telephone_number": "386-280-4877",
            "fax_number": "386-414-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S YONGE ST STE 3A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747501",
            "telephone_number": "386-280-4877",
            "fax_number": "386-414-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "CASIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001968",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.