MR. TIMOTHY PAUL CASSIDY JR. NP-C
NPI 1841760816
Nurse Practitioner - Adult Health in Lake City, FL

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment
310 S MARION AVE, LAKE CITY, FL 32025(386) 438-5722(386) 438-8631 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 17, 2023, Aug 27, 2020, Dec 3, 2018 (3 updates tracked since 2018).

About Mr. Timothy Paul Cassidy Jr. Np-c NPPES

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

MR. TIMOTHY PAUL CASSIDY JR. NP-C (NPI 1841760816) is an individual adult health provider in Lake City, Florida, licensed in Florida (APRN9227994) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1841760816
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. TIMOTHY PAUL CASSIDY JR.Credential: NP-C
Location Address310 S MARION AVELake City, FL 32025-7064
Mailing Address310 S Marion AveLake City, FL 32025-7064 · (386) 438-5722 · Fax (386) 438-8631
Fax(386) 438-8631
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 3, 2018
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1841760816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN9227994
310 S MARION AVE, Lake City, FL 32025

Other Identifiers 1

MedicaidPENDINGFL

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

Mr. Timothy Paul Cassidy Jr. Np-c 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 ID3476890856
PECOS Enrollment IDI20190123001667
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
176 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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

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

Nurse Practitioner (Family)
310 S MARION AVE
LAKE CITY, FL 32025

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 Timothy Cassidy's NPI number?

The NPI number for Timothy Cassidy is 1841760816. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Timothy Cassidy located?

Timothy Cassidy practices at 310 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 438-5722.

What is Timothy Cassidy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Timothy Cassidy enrolled in Medicare?

Yes. Timothy Cassidy 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 Timothy Cassidy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Timothy Cassidy 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 Timothy Cassidy was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.