Individual provider Active NPI

Casandra L Slavens, ARNP

  • Dermatology Physician
  • Summerfield, FL
National Provider Identifier
1548596083
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9210033 Issued in FL
Practice address
10973 SE 175TH PL # 100
Summerfield, FL 34491-8983
Phone
(352) 259-6553
NPI assigned
Oct 18, 2009
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 9210033 FL
Dermatology Physician 207N00000X 9210033 FL Primary

Addresses

Primary practice location

10973 SE 175TH PL # 100
Summerfield, FL 34491-8983

Mailing address

10973 SE 175TH PL # 100
Summerfield, FL 34491-8983
Phone (352) 259-6553

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbarber@directaddress.net

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
I20110705000330 FL Practitioner - Nurse Practitioner 8820123045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer Center of Central Florida PAGroup PAC ID 5597818948, 4 clinicians

Practice addresses (Care Compare)

10973 SE 175TH PL
Suite 100
Summerfield, FL 34491-0905
Phone (352) 259-6553

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9210033FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer Center of Central Florida, P.a. Dermatology CurrentSince Apr 17, 2017 Accepting new patients
Ocala Health Primary Care LLC CurrentSince May 15, 2011 Accepting new patients
Skin Cancer Center of North Georgia PC Dermatology CurrentSince Nov 5, 2023 Accepting new patients
Quick Primary Care, PA Past Accepting new patients

Locations

10696 SE US Highway 441
Belleview, FL 34420
Phone (352) 245-1111

3200 SW 34th Ave
Ste 202A
Ocala, FL 34474
Phone (352) 622-7188

2415 SE 17th St
Ocala, FL 34471
Phone (352) 732-5365

10973 SE 175th Pl
Ste 100
Summerfield, FL 34491
Phone (352) 259-6553

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mbarber@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1548596083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL # 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918983",
            "telephone_number": "352-259-6553",
            "fax_number": "352-873-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL # 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918983",
            "telephone_number": "352-259-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVENS",
        "first_name": "CASANDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "9210033",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "9210033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbarber@directaddress.net",
            "affiliation": "N",
            "address_1": "10973 SE 175th Pl # 100",
            "city": "Summerfield",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344918983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.