Michelle Lee Casto, ARNP
NPI 1578937843ActiveIndividual· Nurse Practitioner, Adult Health· Palatka, FL
Nurse Practitioner, Adult Health (ARNP) with Island Doctors Intrastate LLC and 1 other group, practicing in Palatka, Florida. Part D covered 9,620 prescriptions written in 2024, 83% of them generic. Pulmonx Corporation was the largest of 4 companies reporting payments in 2025, $94.07 in all, mostly food and beverage. Lists HCA Florida Putnam Hospital as a hospital affiliation.
Overview
| NPI | 1578937843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Nov 23, 2015 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APRN9292354 | FL |
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 Practitioner - Nurse Practitioner (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 9,620 · 19,670 30-day fills |
|---|---|
| Patients | 629 |
| Total drug cost | $1,117,039 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Island Doctors Intrastate LLCHawthorne, FL · 72 clinicians
- Roy H Hinman MD PASaint Augustine, FL · 66 clinicians
Hospital affiliation
- HCA Florida Putnam HospitalPalatka, FL
Other facilities
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
Industry payments (Open Payments)
- 2025$94.07 · 5 payments from 4 companies
- 2024$927.88 · 69 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pulmonx Corporation | $34.23 | 2 |
| Phathom Pharmaceuticals, Inc. | $23.66 | 1 |
| Abbvie Inc. | $20.52 | 1 |
| Astrazeneca Pharmaceuticals LP | $15.66 | 1 |
What the 2025 payments were for
- Food and Beverage$94.07 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Palatka
- 1225670037
- 1023375276