1. Home
  2. Directory
  3. Florida
  4. Keystone Heights
  5. Nurse Practitioner
  6. NPI Profile

CARY LYNN HOWARD ARNP
NPI 1871172221
Nurse Practitioner in Keystone Heights, FL

Active since April 05, 2021PECOS Enrolled
98.66/100
CMS Quality Rating
175 N LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656(352) 473-3199(352) 473-4491 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 13, 2021, Apr 5, 2021 (2 updates tracked since 2021).

About Cary Lynn Howard Arnp NPPES

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

CARY LYNN HOWARD ARNP (NPI 1871172221) is an individual nurse practitioner in Keystone Heights, Florida, licensed in Florida (APRN11012439) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871172221
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARY LYNN HOWARDCredential: ARNP
Location Address175 N LAWRENCE BLVDKeystone Heights, FL 32656-9351
Mailing Address345 W Madison StStarke, FL 32091-3923 · (904) 964-5455 · Fax (904) 964-4099
Phone(352) 473-3199
Fax(352) 473-4491
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1871172221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11012439
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
175 N LAWRENCE BLVD, Keystone Heights, FL 32656
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cary Lynn Howard Arnp 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 Cary Howard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Services Group Of Florida, LLC
306 mi
Family Medicine
3000 GULF BREEZE PKWY
Gulf Breeze, FL 32563
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1235775396 (850) 324-9633
Psgfl Mssp, LLC
306 mi
Multi-Specialty
3000 GULF BREEZE PKWY
Gulf Breeze, FL 32563
  • Reassigned Medicare billing, Florida enrollment
  • 62 clinicians in this Medicare group
NPI 1689557936 (864) 303-8650

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

Areas of Expertise CMS Part B claims 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
505 services210 patients
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.
389 services185 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
200 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
133 services133 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
127 services127 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32656 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.58
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%448 patients4/55-star benchmark: 100%
Breast Cancer Screening
57%265 patients3/55-star benchmark: 93%
Cervical Cancer Screening
44%190 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
38%326 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
64%489 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
70%368 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
38%136 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%136 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,394 patients5/55-star benchmark: 100%
e-Prescribing
99%3,725 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
79%430 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
84%793 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
72%573 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%1,015 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
93%715 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%315 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 445 patients
Patients totalRate: 11% · 452 patients
11%452 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims42 services$5.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

STARKE FAMILY MEDICAL CENTER INC
General Practice
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
JESSICA MARIE CUMMINGS-NIGH APRN
Nurse Practitioner (Family)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
MRS. PAMELA MICHELE RITTER WIGGS ARNP
Nurse Practitioner (Adult Health)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
ANGELICA BENNETT COOKSEY APRN
Nurse Practitioner (Family)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199

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 Cary Howard's NPI number?

The NPI number for Cary Howard is 1871172221. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Cary Howard located?

Cary Howard practices at 175 N Lawrence Blvd, Keystone Heights, FL 32656. The listed phone number is (352) 473-3199.

What is Cary Howard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cary Howard enrolled in Medicare?

Yes. Cary Howard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cary Howard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cary Howard reassigns Medicare benefits to 2 organizations: Physician Services Group Of Florida, LLC (Gulf Breeze, FL) and Psgfl Mssp, LLC (Gulf Breeze, 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 Cary Howard'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 Cary Howard was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.