CASSANDRA ANN WALLACE-WICAL ARNP
NPI 1124342563
Nurse Practitioner - Primary Care in Clearwater, FL

Active since March 14, 2010PECOS Enrolled
2350 SUNSET POINT RD STE C, CLEARWATER, FL 33765(727) 797-3155(727) 797-4301 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2023, May 5, 2022 (2 updates tracked since 2022).

About Cassandra Ann Wallace-wical Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA ANN WALLACE-WICAL ARNP (NPI 1124342563) is an individual primary care provider in Clearwater, Florida, licensed in Florida (ARNP9204048) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1124342563
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCASSANDRA ANN WALLACE-WICALCredential: ARNP
Location Address2350 SUNSET POINT RD STE CClearwater, FL 33765-1443
Mailing Address2350 Sunset Point Rd Ste CClearwater, FL 33765-1443 · (727) 797-3155 · Fax (727) 797-4301
Fax(727) 797-4301
Sole ProprietorNo
Enumeration DateMarch 14, 2010
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1124342563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · ARNP9204048
2350 SUNSET POINT RD STE C, Clearwater, FL 33765

Secondary Practice Location 1

Location 16918 Gunn HwyTampa, FL 33625-3853 · Phone (813) 891-6310 · Fax (813) 749-7938

Other Identifiers 1

MedicaidPENDINGFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra Ann Wallace-wical Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    1 DME suppliers used 17 Medicare Claims 19 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33765 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine
2350 SUNSET POINT RD STE C
CLEARWATER, FL 33765
Nurse Practitioner
2350 SUNSET POINT RD STE C
CLEARWATER, FL 33765
Nurse Practitioner
2350 SUNSET POINT RD STE C
CLEARWATER, FL 33765
Nurse Practitioner (Family)
2350 SUNSET POINT RD STE C
CLEARWATER, FL 33765
Nurse Practitioner (Family)
2350 SUNSET POINT RD STE C
CLEARWATER, FL 33765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124342563, enumerated as an "individual" on March 14, 2010.

The provider is located at 2350 SUNSET POINT RD STE C CLEARWATER, FL 33765 and the phone number is (727) 797-3155.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.