Individual provider Active NPI

Cassie McDonnell, APRN

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1629894522
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031322 Issued in FL
Practice address
907 Mar Walt Dr Ste 2023
Fort Walton Beach, FL 32547-6756
Phone
(850) 613-4024
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 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 11031322 FL Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2023
Fort Walton Beach, FL 32547-6756

Mailing address

PO Box 6612
Navarre, FL 32566-2312
Phone (405) 788-5365

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
I20241231000234 FL Practitioner - Nurse Practitioner 3678000783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Absolute OBGYN LLCGroup PAC ID 0941561864, 5 clinicians
Carelink Primary CareGroup PAC ID 2466954599, 8 clinicians
Coastal Wound CareGroup PAC ID 6507232881, 5 clinicians

Practice addresses (Care Compare)

1118 Gulf Breeze Pkwy
Suite 201
Gulf Breeze, FL 32561-7803
Phone (850) 916-7766

907 Mar Walt Dr
Suite 2023
Fort Walton Beach, FL 32547-6756
Phone (850) 613-4024

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031322FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wound Care Family CurrentSince Dec 1, 2024 Accepting new patients
Absolute OBGYN LLC CurrentSince Feb 23, 2026 Accepting new patients
Carelink Primary Care CurrentSince Aug 1, 2025 Accepting new patients

Locations

907 Mar Walt Dr
Ste 2023
Ft Walton Bch, FL 32547
Phone (850) 613-4024

1118 Gulf Breeze Pkwy
Ste 201
Gulf Breeze, FL 32561
Phone (850) 916-1872

7552 Navarre Pkwy
Unit 18
Navarre, FL 32566
Phone (850) 916-7766

Interoperability endpoints

  • Direct secure messaging: cassie.mcdonnell@1103023968419844.direct.elationemr.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1629894522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6612",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662312",
            "telephone_number": "405-788-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2023",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476756",
            "telephone_number": "850-613-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "CASSIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.