Individual provider Active NPI

Lois Cassle, ARNP

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1518375120
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9251042 Issued in FL
Practice address
5189 NW Wisk Fern Cir
Port St Lucie, FL 34986-4385
Phone
(772) 924-8632
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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 ARNP 9251042 FL Primary

Addresses

Primary practice location

5189 NW Wisk Fern Cir
Port St Lucie, FL 34986-4385

Mailing address

5189 NW Wisk Fern Cir
Port St Lucie, FL 34986-4385

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
I20231024004081 FL Order and Referring Only - Nurse Practitioner 6709103138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9251042FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia & Garcia MD S P a Past Accepting new patients

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1518375120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 NW WISK FERN CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 NW WISK FERN CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864385",
            "telephone_number": "772-924-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSLE",
        "first_name": "LOIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9251042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.