Active NPI
Cathy R. Kessenich, ARNP
- Nurse Practitioner
- Holiday, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1100882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1100882 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Current | Accepting new patients | |
| Optumcare Florida LLC | Current | Accepting new patients | |
| Optumcare Florida, LLC | Current | 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
- 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.
-
- General Practice Physician
- Tampa, FL
- NPI 1053384214
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Clinic/Center
- Clearwater, FL
- NPI 1619058641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.