Active NPI
Kassie Virginia Falcon
- Family Medicine Physician
- Mount Dora, FL
National Provider Identifier
1972064780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS18915
- Practice address
- 19735 US Highway 441 FL 1
Mount Dora, FL 32757-2204 - Phone
- (352) 735-5700
- Fax
- (352) 735-5701
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Family Medicine, FL
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Family Medicine, FL
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Leesburg, FL
- NPI 1023045853
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- The Villages, FL
- NPI 1942238506
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventhealth Primary Care Network Inc
Practice addresses (Care Compare)
19735 US Hwy 441
FL 1
Mount Dora, FL 32757-2204
Phone (352) 735-5700
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Home Health
- Pinnacle Home Care of the Villages Inc
- Concierge Home Care
- Adventhealth Waterman
- Adventhealth Daytona Beach
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908000784 | FL | Practitioner - Family Practice | 9931439692 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18915 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
19735 US Highway 441
Fl 1
Mount Dora, FL 32757
Phone (352) 735-5700
1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760
Interoperability endpoints
- kfalcon554192@adventhealth.direct-ci.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS18915 | FL | Primary |
Addresses
Primary practice location
19735 US Highway 441 FL 1
Mount Dora, FL 32757-2204
Mailing address
19735 US Highway 441 FL 1
Mount Dora, FL 32757-2204
Phone (352) 735-5700
NPI Registry JSON
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1972064780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19735 US HIGHWAY 441 FL 1",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572204",
"telephone_number": "352-735-5700",
"fax_number": "352-735-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19735 US HIGHWAY 441 FL 1",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572204",
"telephone_number": "352-735-5700",
"fax_number": "352-735-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCON",
"first_name": "KASSIE",
"middle_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS18915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.