Individual provider Active NPI

Flavia Casassola, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake City, FL
National Provider Identifier
1891773214
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9308071 Issued in FL
Practice address
421 SE Alfred Markham St
Lake City, FL 32025-2204
Phone
(386) 697-1364
Fax
(888) 370-3379
NPI assigned
Jan 5, 2006
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9308071 FL Primary

Addresses

Primary practice location

421 SE Alfred Markham St
Lake City, FL 32025-2204

Mailing address

421 SE Alfred Markham St
Lake City, FL 32025-2204
Phone (386) 697-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000722 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284813528 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Port Orange Anesthesia, LLC CurrentSince Dec 8, 2022 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jan 17, 2022 Accepting new patients
Mills Ave Anesthesia LLC CurrentSince Nov 5, 2017 Accepting new patients

Locations

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1825 N Mills Ave
Orlando, FL 32803
Phone (407) 206-2375

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1891773214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE ALFRED MARKHAM ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320252204",
            "telephone_number": "386-697-1364",
            "fax_number": "888-370-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE ALFRED MARKHAM ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320252204",
            "telephone_number": "386-697-1364",
            "fax_number": "888-370-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASASSOLA",
        "first_name": "FLAVIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9308071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.