Cassidy Health and Wellness LLC
NPI 1184203721ActiveOrganization· Nurse Practitioner, Family· Lake City, FL
Nurse Practitioner, Family in Lake City, Florida, registered in NPPES in April 2021. The authorized official on file is Timothy P. Cassidy, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184203721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2021 |
| Last updated in NPPES | Jul 17, 2023 |
| Certified by provider | Jul 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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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