CASSANDRA DEHANEY-DUFFUS – Family Nurse Practitioner, NPI 1922050129

CASSANDRA DEHANEY-DUFFUS is a healthcare provider. based in Lake mary, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP3168072 (FL). The NPI Number for CASSANDRA DEHANEY-DUFFUS is 1922050129

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA DEHANEY-DUFFUS
NPI
1922050129
Phone
(407) 647-2346
Address
525 Technology Park Ste 109
Enumeration Date
16 May 2006
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2397720111
Graduation Year
2004 (22 years ago)
PAC ID
9436118817
Group Practice PAC ID
2961750146
Professional Enrollment ID
I20041011000369
Address ID
FL339906200CA1407XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CASSANDRA DEHANEY-DUFFUS

  • 525 Technology Park Ste 109

    Lake Mary, FL 327467107

    Phone: (407) 647-2346

    Type: Location

  • Quality Remediation, 1400, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    SUITE #1

    FT MYERS, FL 339071055

    Phone:

    Type: Mailing

  • Metro Parkway, Fort Myers, Lee County, Florida, 33906, United States

    FORT MYERS, FL 339124343

    Phone: (239) 931-3440

    Fax: (239) 931-3454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041011000369INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961750146View full group profile

Reviews

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Frequently asked questions

Does CASSANDRA DEHANEY-DUFFUS have a public NPI I can cite?
Public records show CASSANDRA DEHANEY-DUFFUS under NPI 1922050129.
Is CASSANDRA DEHANEY-DUFFUS's NPI status active today?
Active status means CASSANDRA DEHANEY-DUFFUS's NPI record is not deactivated in the public file.
What services align with CASSANDRA DEHANEY-DUFFUS's listing?
CASSANDRA DEHANEY-DUFFUS's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CASSANDRA DEHANEY-DUFFUS?
CASSANDRA DEHANEY-DUFFUS shows a connection to Lake Mary, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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