Individual provider Active NPI

Laura A Casey, APRN, FNP-BC

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1790256170
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9384259 Issued in FL
Practice address
17179 Bonnie Ave Unit C
Port Charlotte, FL 33954-2715
Phone
(941) 228-4706
Fax
(234) 901-6261
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 9384259 FL Primary

Addresses

Primary practice location

17179 Bonnie Ave Unit C
Port Charlotte, FL 33954-2715

Mailing address

17179 Bonnie Ave Unit C
Port Charlotte, FL 33954-2715
Phone (941) 228-4706

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
I20190827003406 FL Practitioner - Nurse Practitioner 2365770427 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9384259FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Dec 16, 2018 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Dec 16, 2018 Accepting new patients
Platinum Healthcare Physical Medicine, PLLC CurrentSince Jul 29, 2019 Accepting new patients
Platinum Healthcare Physical Medicine, PLLC PastSince Jul 29, 2019 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

5560 Bee Ridge Rd
Ste 7
Sarasota, FL 34233
Phone (941) 927-1123

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

100 Base Ave E
Venice, FL 34285
Phone (941) 412-4748

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1790256170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17179 BONNIE AVE UNIT C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542715",
            "telephone_number": "941-228-4706",
            "fax_number": "234-901-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17179 BONNIE AVE UNIT C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542715",
            "telephone_number": "941-228-4706",
            "fax_number": "234-901-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9384259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.