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

Kassie Crews Shoup

Individual provider Family Nurse Practitioner · NPI 1578028478

Kassie Crews Shoup is a Nurse Practitioner in Macclenny, Florida. Qualified in 2018, 8 years ago. Practices with Florida Department of Children and Families, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019

Practice location Address checks out

725 S 6th St
Macclenny, FL 32063-9653
Phone: (904) 259-3150
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11001429 (FL)

Record details

NPI number1578028478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 25, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Florida Department Of Children And Families — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Macclenny