Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassie Harrison

Individual provider Family Nurse Practitioner · NPI 1710629852

Cassie Harrison is a Nurse Practitioner in Port Orange, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1402 Dunlawton Ave
Port Orange, FL 32127-2917
Phone: (386) 561-9026
Fax: (828) 800-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11018166 (FL)

Record details

NPI number1710629852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2022
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address5327 Plantation Home Way, Port Orange, FL 32128-7528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Orange