Sanara Clinical Services PLLC
NPI 1063205425ActiveOrganization· Nurse Practitioner, Family· Fruitland Park, FL
Nurse Practitioner, Family in Fruitland Park, Florida, registered in NPPES in May 2025. The authorized official on file is Jessica Cassella, Practice Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063205425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2025 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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