Individual provider Active NPI

Casey Hedemann

  • Family Nurse Practitioner
  • Saint Petersburg, FL
National Provider Identifier
1942962683
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014673 Issued in FL
Practice address
3022 Dartmouth Ave N
Saint Petersburg, FL 33713-7728
Phone
(361) 728-1839
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014673 FL Primary

Addresses

Primary practice location

3022 Dartmouth Ave N
Saint Petersburg, FL 33713-7728

Mailing address

3022 Dartmouth Ave N
Saint Petersburg, FL 33713-7728
Phone (361) 728-1839

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
I20230331000937 FL Practitioner - Nurse Practitioner 3779958905 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014673FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marc R Stauffer, M.D., P.a. CurrentSince Dec 14, 2022 Accepting new patients
Bay Area Heart Center PA CurrentSince Jan 29, 2024 Accepting new patients

Locations

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

2919 W Swann Ave
Ste 102
Tampa, FL 33609
Phone (813) 870-3971

Interoperability endpoints

  • Direct secure messaging: casey.hedemann.1@15915.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

Organizations & group practices 2

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1942962683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 DARTMOUTH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137728",
            "telephone_number": "361-728-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 DARTMOUTH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137728",
            "telephone_number": "361-728-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEMANN",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.