CASSIDY BRENA BRAXTON
NPI 1538023148
Nurse Practitioner - Family in Orange Park, FL

Q: What is Cassidy Braxton's NPI number?

The NPI number for Cassidy Braxton is 1538023148. It was assigned to this individual provider in the NPPES registry on December 10, 2025. The provider is also known as Cassidy Williams.

Q: What is Cassidy Braxton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Braxton was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2025PECOS Enrolled

1075 OAKLEAF PLANTATION PKWY STE 108, ORANGE PARK, FL 32065(904) 282-4565 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, Jan 5, 2026, Dec 10, 2025 (3 updates tracked since 2025).

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About Cassidy Brena Braxton NPPES

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

CASSIDY BRENA BRAXTON (NPI 1538023148) is an individual family provider in Orange Park, Florida, licensed in Florida (APRN11044617) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538023148

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASSIDY BRENA BRAXTON

Location Address1075 OAKLEAF PLANTATION PKWY STE 108Orange Park, FL 32065-3626

Mailing Address1075 Oakleaf Plantation Pkwy Ste 108Orange Park, FL 32065-3626

Phone(904) 282-4565

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 10, 2025

Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1538023148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11044617

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9529125 (FL)

1075 OAKLEAF PLANTATION PKWY STE 108, Orange Park, FL 32065

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Other Names 1

Former Name (1)Cassidy Williams

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Brena Braxton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315412384

PECOS Enrollment IDI20260407002391

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 32065 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.

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.

BRIDGETTE VIOTTO FNP-C

Nurse Practitioner (Family)