Individual provider Active NPI

Cathy R. Kessenich, ARNP

  • Nurse Practitioner
  • Holiday, FL
National Provider Identifier
1841271996
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1100882 Issued in FL
Practice address
3314 US Highway 19
Holiday, FL 34691-1846
Phone
(727) 845-0588
Fax
(727) 842-6678
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1100882 FL
Nurse Practitioner 363L00000X ARNP1100882 FL Primary

Addresses

Primary practice location

3314 US Highway 19
Holiday, FL 34691-1846

Mailing address

4759 US Highway 19
New Port Richey, FL 34652-4945
Phone (727) 841-8772

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
I20120417000132 FL Practitioner - Nurse Practitioner 7517156110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719
Phone (727) 938-1908

2044 Trinity Oaks Blvd
Suite 220
Trinity, FL 34655-4406
Phone (727) 645-6900

2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630

5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1100882FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Mar 1, 2023 Accepting new patients
Optumcare Florida LLC CurrentSince Apr 11, 2016 Accepting new patients
Optumcare Florida, LLC CurrentSince Apr 11, 2016 Accepting new patients
Mid Pinellas Medical Center Inc Past Accepting new patients

Locations

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

3314 US Highway 19
Holiday, FL 34691
Phone (727) 845-0588

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

4759 US Highway 19
New Pt Richey, FL 34652
Phone (727) 841-8772

770 Martin Luther King Blvd W
Ste B
Seffner, FL 33584

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

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

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cathy.kessenich@wellmed.eclinicaldirectplus.com

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1841271996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-841-8772",
            "fax_number": "727-848-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346911846",
            "telephone_number": "727-845-0588",
            "fax_number": "727-842-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSENICH",
        "first_name": "CATHY",
        "middle_name": "R.",
        "name_prefix": "Prof.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1100882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1100882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.