Kassandra Leann Butler, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9337434 Issued in FL

Practice address

1563 Kingsley Avenue
Suite 106
Orange Park, FL 32073

Phone

(904) 389-5333

Fax

(904) 389-5332

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James D Baker III MD PAGroup PAC ID 9032011663, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
• HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
• Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• James D. Baker III, M.D., PA

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1437182896
  Medicare reassignment Care Compare group NPD
• Florida Infectious Disease Associates PA

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1124214879
  Medicare reassignment NPD
• WCS Professional Services of Florida, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1659782415

  FL

  Medicare reassignment NPD
• Doctors Inlet Pediatrics and Primary Care

  • Internal Medicine Physician
  • Middleburg, FL
  • NPI 1518328301
  NPD (past)

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

• Orange Park Medical Center, Inc.

  • General Acute Care Hospital
  • Orange Park, FL
  • NPI 1689611501
  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation
• St Vincents Health System Inc

  • General Acute Care Hospital
  • St. Johns, FL
  • NPI 1861078651
  Care Compare affiliation
• St. Vincent'S Medical Center-Clay County, Inc.

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  Care Compare affiliation

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1780055152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044759",
            "telephone_number": "904-389-5333",
            "fax_number": "904-389-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 KINGSLEY AVENUE",
            "address_2": "SUITE 106",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-389-5333",
            "fax_number": "904-389-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KASSANDRA",
        "middle_name": "LEANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9337434",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9337434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015924400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Burrows
• Cecelia Anne Bushery, LMHC
• Allison Dasta Butler, M.D.
• Dawn Butler
• Justin Butler, PMHNP-BC
• Sarah Nicole Butler
• Mujtaba I Butt, M.D.
• Nicole Marie Buzard, PA-C
• Miashia Byrd
• Vivian Cai

• Family Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.