KASEY MARIE LAGOW
NPI 1730060583
Nurse Practitioner - Acute Care in Saint Johns, FL

Active since September 09, 2025PECOS Enrolled
300 SAINT ELIZABETH WAY STE 270, SAINT JOHNS, FL 32259(904) 691-9130(901) 691-9159 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Kasey Marie Lagow NPPES

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

KASEY MARIE LAGOW (NPI 1730060583) is an individual acute care provider in Saint Johns, Florida, licensed in Florida (11040595) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730060583
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKASEY MARIE LAGOW
Location Address300 SAINT ELIZABETH WAY STE 270Saint Johns, FL 32259-1152
Mailing Address300 Saint Elizabeth Way Ste 270Saint Johns, FL 32259-1152 · (904) 691-9130 · Fax (901) 691-9159
Fax(901) 691-9159
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1730060583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · 11040595
300 SAINT ELIZABETH WAY STE 270, Saint Johns, FL 32259

Secondary Practice Location 1

Location 12122 University Blvd SJacksonville, FL 32216-8937 · Phone (904) 553-1135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kasey Marie Lagow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931679826
PECOS Enrollment IDI20260601003746
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 32259 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.

Specialist
300 SAINT ELIZABETH WAY STE 270
ST JOHNS, FL 32259
Neurological Surgery
300 SAINT ELIZABETH WAY STE 270
SAINT JOHNS, FL 32259
Physician Assistant
300 SAINT ELIZABETH WAY STE 270
SAINT JOHNS, FL 32259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730060583, enumerated as an "individual" on September 09, 2025.

The provider is located at 300 SAINT ELIZABETH WAY STE 270 SAINT JOHNS, FL 32259 and the phone number is (904) 691-9130.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.