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

Pavel Kasianov, NP-C

Individual provider Nurse Practitioner · NPI 1861943680

Pavel Kasianov, NP-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices with Vip Specialties of Florida, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

13715 Richmond Park Dr N Unit 401
Jacksonville, FL 32224-5277
Phone: (904) 593-8514
Fax: (904) 593-8515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence APRN9344609 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 9344609 (FL)

Record details

NPI number1861943680
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vip Specialties Of Florida — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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