Doctor profile · Federal record

Dr. CASEY NIETZ, APRN

Family Nurse Practitioner · ST JOHNS, FL

  • NPI 1922739358
  • 4 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
170 FOUNTAINS WAY STE 6
ST JOHNS, FL 322591173
(904) 382-6589
Mailing address
4846 PARKHURST PL
JACKSONVILLE, FL 322566046

Credentials & registration

NPPES · NUCC
NPI registered
June 2022 — 4 yrs on file
Profile last updated
February 2, 2024
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Florida #11020289

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1922739358. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$47
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 2 $46.70

By nature of payment

Food and Beverage
$47