NPPES file of Aug 9, 2026

Michelle Lee Casto, ARNP

Adult Health Nurse Practitioner · Palatka, FL

Michelle Lee Casto, ARNP is an adult health nurse practitioner with a practice address in Palatka, Florida, and NPI 1578937843, issued on Nov 23, 2015. Check the license (Florida APRN9292354, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1578937843
Name
Michelle Lee Casto
Credential
ARNP
Primary taxonomy
Adult Health Nurse Practitioner 363LA2200X
License number
APRN9292354 FL
Self-reported in NPPES; status is on the state search
Practice location
1023 Saint Johns Ave, Palatka, FL 32177
Phone
(386) 328-2222
Enumerated
Nov 23, 2015
Record last updated
Feb 19, 2026
Fax
(386) 328-2238
Medicare enrollment
Enrolled (PECOS I20250326004095); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest adult health nurse practitioner records → All 3,214 in Florida → Look up another NPI →

Also registered at 1023 Saint Johns Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Francis Carmel, MSN, FNP-BCNurse Practitioner1336348432

Verify Michelle Lee Casto in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license APRN9292354    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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7.5 times the Medicare Part D claims of the average adult health nurse practitioner in 2024

9,620 Medicare Part D claims for 629 beneficiaries, against an average of 1,280 among the 16,937 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims. 50 claims were for opioids.

  1. Michelle Casto9,620
  2. Specialty average1,280

Most prescribed

  1. Atorvastatin Calcium500 claims
  2. Amlodipine Besylate419 claims
  3. Omeprazole308 claims
  4. Levothyroxine Sodium265 claims
  5. Losartan Potassium258 claims
  6. Albuterol Sulfate Hfa249 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $910.98

46 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 12,291 providers of this specialty with any payment received $946.40 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michelle Casto$910.98
  2. Specialty average$946.40

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Island Doctors Intrastate LLCPalatka, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michelle Lee Casto among 3,214 adult health nurse practitioner records in Florida

Michelle Lee Casto, ARNP is one of 3,214 adult health nurse practitioner records with a practice address in Florida. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 53% of them.

  • NPI issued2015 · 53% of these records are older, 42% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 49% of these records are
  • Graduated2015 · median 2016 among the 1,584 with a school on file
  • Record last updated2026 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Health Nurse Practitioner providers in Florida

There are 3,214 adult health nurse practitioner records in Florida.

All 3,214 in Florida → Every provider in Palatka → Adult Health Nurse Practitioner nationwide →

The 8 adult health nurse practitioner records with the nearest ZIP codes

  1. Ramonica Flagler, NPPalatka, FL 321771225670037
  2. Kathleen Russell, ARNP-BCPalatka, FL 321771023375276
  3. Kristi Lafreniere, A.R.N.P.Ormond Bch, FL 321761114270717
  4. Pamela Cope, APRN-COrmond Beach, FL 321741023422300
  5. Sharen Corpuz, ARNPOrmond Beach, FL 321741144298951
  6. Stephanie Monahan, A.R.N.P.Ormond Beach, FL 321741861780272
  7. Anthony Lagana, ARNPNew Smyrna Beach, FL 321691023301942
  8. Renee Schafer, APRNNew Smyrna Beach, FL 321691548725278

Common questions

What is Michelle Lee Casto, ARNP's NPI number?

Michelle Lee Casto, ARNP's National Provider Identifier (NPI) is 1578937843, issued on Nov 23, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Michelle Lee Casto, ARNP located?

The NPPES record lists a practice address at 1023 Saint Johns Ave, Palatka, FL, 32177. Phone: (386) 328-2222. Providers update this record themselves, so call before visiting.

How can I verify Michelle Lee Casto, ARNP's license?

NPPES lists Florida license number APRN9292354, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michelle Lee Casto, ARNP prescribe under Medicare Part D?

In 2024, Michelle Lee Casto, ARNP had 9,620 Medicare Part D claims for 629 beneficiaries; the average among adult health nurse practitioner prescribers was 1,280. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.