Individual provider Active NPI

Casondra A Banks, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1679562136
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3278 Issued in FL
Practice address
530 Fontaine St
Pensacola, FL 32503-2019
Phone
(800) 243-7546
Fax
(850) 484-8223
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3278 FL Primary

Addresses

Primary practice location

530 Fontaine St
Pensacola, FL 32503-2019

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1200 Gulf Breeze Pkwy Ste A
Gulf Breeze, FL 32561-4851
Phone (800) 243-7546

Other practice location 2

121 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 474-4775

Other names 1

  • Casondra A Webb-Soto Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address CaSondra.Banks@forefrontdermatology.emadirect.md
Direct Messaging Address CaSondra.Banks@forefrontdermatology.emadirect.md
Direct Messaging Address CaSondra.Banks@forefrontdermatology.emadirect.md

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
I20040628000945 FL Practitioner - Physician Assistant 8921084179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

121 Baptist Way
Suite 2200
Pensacola, FL 32503-2254
Phone (850) 474-4775

530 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jan 4, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jan 4, 2022 Accepting new patients
Silver Falls Dermatology, LLC Physician Assistant Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1200 Gulf Breeze Pkwy
Ste A
Gulf Breeze, FL 32561
Phone (800) 243-7546

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

121 Baptist Way
Ste 2200
Pensacola, FL 32503
Phone (850) 474-4775

530 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546

540 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1679562136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032019",
            "telephone_number": "800-243-7546",
            "fax_number": "850-484-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Gulf Breeze Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614851",
            "country_code": "US",
            "telephone_number": "800-243-7546",
            "fax_number": "850-484-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Baptist Way",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032254",
            "country_code": "US",
            "telephone_number": "850-474-4775",
            "fax_number": "850-912-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CASONDRA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CaSondra.Banks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "121 Baptist Way",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325032254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CaSondra.Banks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1200 Gulf Breeze Pkwy Ste A",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325614851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CaSondra.Banks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "530 Fontaine St",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325032019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASONDRA",
            "last_name": "WEBB-SOTO",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.