Individual provider Active NPI

Charles Alan Cantrell, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1801317219
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2614672 Issued in FL
Practice address
3385 S US Highway 17/92 Ste 285
Casselberry, FL 32707-2916
Phone
(407) 867-0008
Fax
(407) 477-5668
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 RN2614672 FL Primary

Addresses

Primary practice location

3385 S US Highway 17/92 Ste 285
Casselberry, FL 32707-2916

Mailing address

3385 S US Highway 17/92 Ste 285
Casselberry, FL 32707-2916
Phone (407) 867-0008

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
I20200908000728 FL Practitioner - Nurse Practitioner 1759708746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Sunshine Family Care LLCGroup PAC ID 4880049675, 12 clinicians

Practice addresses (Care Compare)

1013 N State Rd
434 Suite 1060
Altamonte Springs, FL 32714-7078
Phone (407) 883-0908

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2614672FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC CurrentSince Oct 24, 2022 Accepting new patients
Sunshine Family Care LLC CurrentSince Dec 9, 2024 Accepting new patients
Coastal Integrative Healthcare Inc CurrentSince Aug 1, 2021 Accepting new patients
Coastal Integrative Healthcare Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1013 N State Road 434
Ste 1060
Altamonte Springs, FL 32714
Phone (407) 867-0008

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2277 Lee Rd
Winter Park, FL 32789

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1801317219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 S US HIGHWAY 17/92 STE 285",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072916",
            "telephone_number": "407-867-0008",
            "fax_number": "407-477-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 S US HIGHWAY 17/92 STE 285",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072916",
            "telephone_number": "407-867-0008",
            "fax_number": "407-477-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN2614672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.