KASSIE CREWS SHOUP
NPI 1578028478
Nurse Practitioner - Family in Macclenny, FL

Active since February 05, 2019PECOS EnrolledAccepts Medicare Assignment
725 S 6TH ST, MACCLENNY, FL 32063(904) 259-3150 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Kassie Crews Shoup NPPES

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

KASSIE CREWS SHOUP (NPI 1578028478) is an individual family provider in Macclenny, Florida, licensed in Florida (APRN11001429) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578028478
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKASSIE CREWS SHOUP
Location Address725 S 6TH STMacclenny, FL 32063-9653
Mailing Address11805 Huckleberry Trl EMacclenny, FL 32063-1802 · (904) 316-1254
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 5, 2019
Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration
NPI 1578028478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11001429
725 S 6TH ST, Macclenny, FL 32063

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kassie Crews Shoup is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325387913
PECOS Enrollment IDI20190226001156
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 32063 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 3

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

Family Medicine
725 S 6TH ST, MACCLE
MACCLENNY, FL 32063
Family Medicine
725 S 6TH ST
MACCLENNY, FL 32063
Nurse Practitioner (Family)
725 S 6TH ST
MACCLENNY, FL 32063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassie Shoup's NPI number?

The NPI number for Kassie Shoup is 1578028478. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Kassie Shoup located?

Kassie Shoup practices at 725 S 6th St, Macclenny, FL 32063. The listed phone number is (904) 259-3150.

What is Kassie Shoup's specialty?

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

Is Kassie Shoup enrolled in Medicare?

Yes. Kassie Shoup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kassie Shoup accept?

Health plans from UnitedHealthcare list Kassie Shoup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassie Shoup was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.