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

Active since February 05, 2019PECOS Enrolled
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: November 01, 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.

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
Phone(904) 259-3150
Sole ProprietorNo
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassie Crews Shoup 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kassie Shoup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tailored Healthcare Inc
0.7 mi
Multi-Specialty
32 S 5TH ST
Macclenny, FL 32063
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1558086033 (904) 259-5929
Florida Department Of Children And Families
3.4 mi
Psychiatric Hospital
7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT
Macclenny, FL 32063
  • Reassigned Medicare billing, Florida enrollment
  • 89 clinicians in this Medicare group
NPI 1013931765 (904) 259-6211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TECSON FAMILY PRACTICE INC
Family Medicine
725 S 6TH ST, MACCLE
MACCLENNY, FL 32063
Baker County (904) 259-3150
MILLENNIUM PHYSICIAN GROUP LLC
Family Medicine
725 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 259-3150
WHITNEY RENAE NIMMO-OLSEN ARNP
Nurse Practitioner (Family)
725 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 259-3150

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 enrollment system.

Which organizations bill Medicare for Kassie Shoup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassie Shoup reassigns Medicare benefits to 2 organizations: Tailored Healthcare Inc (Macclenny, FL) and Florida Department Of Children And Families (Macclenny, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassie Shoup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.