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

Q: What is Cassandra Wallace-wical's NPI number?

The NPI number for Cassandra Wallace-wical is 1124342563. It was assigned to this individual provider in the NPPES registry on March 14, 2010.

Q: What is Cassandra Wallace-wical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

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: August 09, 2026.

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

On this page

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

Phone(727) 797-3155

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

Open in Google Maps ↗

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims19 services$20.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MCEBA WESTON CHISHIMBA APRN-C

Nurse Practitioner (Family)