Pavel Kasianov, NP-C

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

APRN9344609 Issued in FL

Practice address

13715 Richmond Park Dr N Unit 401
Jacksonville, FL 32224-5277

Phone

(904) 593-8514

Fax

(904) 593-8515

NPI assigned

Oct 17, 2016

Last updated

Apr 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vip Specialties of FloridaGroup PAC ID 7810355708, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.81 of 100Reported as group

Quality

73.34

Improvement activities

40

Cost

78.26

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vip Specialties of Florida

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1790499812
  Medicare reassignment Care Compare group NPD
• Pain Consultants of West Florida

  • Pain Clinic/Center
  • Pensacola, FL
  • NPI 1508445966
  NPD

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1861943680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13715 RICHMOND PARK DR N UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245277",
            "telephone_number": "904-593-8514",
            "fax_number": "904-593-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13715 RICHMOND PARK DR N UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245277",
            "telephone_number": "904-593-8514",
            "fax_number": "904-593-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIANOV",
        "first_name": "PAVEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9344609",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN9344609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majdoline Kasera, PHARMD
• Amelia Noel Kasgorgis
• Matteen Rohy Kashef, DMD
• Heather Marie Kashin, RD, LD
• Samir Kashyap, D.O.
• Michael Paul Kasimier, P.T., D.P.T.
• Kasir Home Care
• Ramla Namisango Kasozi, MD, MPH
• Aline Kasper
• Elizabeth Ann Bevan Kasper, ARNP, FNP-C, DCNP

• Hospitalist Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.

Verify at the official NPI Registry.