Individual provider Active NPI

Cassandra Cameron, APRN

  • Gerontology Nurse Practitioner
  • Sun City Center, FL
National Provider Identifier
1679940373
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9311200 Issued in FL
Practice address
772 Cortaro Dr
Sun City Center, FL 33573-6811
Phone
(813) 633-9443
Fax
(813) 633-8761
NPI assigned
Aug 28, 2015
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9311200 FL Primary

Addresses

Primary practice location

772 Cortaro Dr
Sun City Center, FL 33573-6811

Mailing address

772 Cortaro Dr
Sun City Center, FL 33573-6811
Phone (813) 633-9443

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
I20160301000199 FL Practitioner - Nurse Practitioner 3072817709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

507 W Alexander St
Wellmed at Plant City
Plant City, FL 33563-7136
Phone (813) 754-3504

772 Cortaro Dr
Ruskin, FL 33573-6811
Phone (813) 633-9443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince May 30, 2023 Accepting new patients
Optumcare Florida LLC CurrentSince Jan 13, 2025 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 13, 2025 Accepting new patients
Jose R Prieto MD PA CurrentSince Aug 12, 2017 Accepting new patients
Global Health Advisors, LLC PastSince Dec 9, 2018 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

214 Morrison Rd
Ste 104
Brandon, FL 33511
Phone (813) 681-6474

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

507 W Alexander St
Plant City, FL 33563
Phone (813) 754-3504

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

772 Cortaro Dr
Sun City Center, FL 33573
Phone (813) 633-9443

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cassandra.cameron@wellmed.eclinicaldirectplus.com

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, 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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1679940373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736811",
            "telephone_number": "813-633-9443",
            "fax_number": "813-633-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736811",
            "telephone_number": "813-633-9443",
            "fax_number": "813-633-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "CASSANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9311200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.