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

Kasey Marie Lagow

Individual provider Acute Care Nurse Practitioner · NPI 1730060583

Kasey Marie Lagow is a Nurse Practitioner in Saint Johns, Florida. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152
Phone: (904) 691-9130
Fax: (901) 691-9159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2122 University Blvd S, Jacksonville, FL 32216-8937 — (904) 553-1135

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11040595 (FL)

Record details

NPI number1730060583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Saint Johns