Individual provider Active NPI

Casey S. Adams, CNM, ARNP

  • Advanced Practice Midwife
  • Jacksonville, FL
National Provider Identifier
1801897186
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP2562942 Issued in FL
Practice address
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone
(904) 383-1000
NPI assigned
Aug 9, 2005
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP2562942 FL Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 2562942 FL

Addresses

Primary practice location

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273

Mailing address

12123 Ambrosia CT
Jacksonville, FL 32223-3545
Phone (904) 654-3427

Other identifiers 1

IdentifierTypeStateIssuer
306123000MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000095 FL Practitioner - Certified Nurse Midwife (CNM) 7416939137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2562942FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jun 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
Sekine Rasner Brock MD PA Past Accepting new patients
Florida Proton Therapy Institute Inc Past Accepting new patients

Locations

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

15255 Max Leggett Pkwy
Ste 4400
Jacksonville, FL 32218
Phone (904) 383-1000

15255 Max Leggett Pkwy
Ste 4600
Jacksonville, FL 32218
Phone (904) 427-6378

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

76011 William Burgess Blvd
Fl 2
Yulee, FL 32097

Interoperability endpoints

  • Direct secure messaging: cadams719239@direct.shands.ufl.edu

Organizations & group practices 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1801897186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 AMBROSIA CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233545",
            "telephone_number": "904-654-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187273",
            "telephone_number": "904-383-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CASEY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP2562942",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "2562942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306123000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.