Individual provider Active NPI

Cassandra R Dingus, F.N.P.

  • Family Nurse Practitioner
  • Big Stone Gap, VA
National Provider Identifier
1013105840
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165801 Issued in VA
Practice address
205 E 19TH St N
Big Stone Gap, VA 24219-3468
Phone
(276) 524-4920
Fax
(276) 524-1401
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10728 TN
Family Nurse Practitioner 363LF0000X 0024165801 VA Primary

Addresses

Primary practice location

205 E 19TH St N
Big Stone Gap, VA 24219-3468

Mailing address

205 E 19TH St N
Big Stone Gap, VA 24219-3468
Phone (276) 524-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000415 VA Practitioner - Nurse Practitioner 4789584897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cassandra Dingus FNP PC 2 clinicians

Practice addresses (Care Compare)

205 E 19TH St N
Big Stone Gap, VA 24219-3468
Phone (276) 524-4920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10728TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Dingus, FNP, PC CurrentSince Nov 1, 2019 Accepting new patients
Wellmont Health System Past Accepting new patients
Wellmont Physician Services Inc Nurse Practitioner Past Accepting new patients

Locations

205 E 19th St N
Big Stone Gap, VA 24219
Phone (276) 523-4890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1013105840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 19TH ST N",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193468",
            "telephone_number": "276-524-4920",
            "fax_number": "276-524-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 19TH ST N",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193468",
            "telephone_number": "276-524-4920",
            "fax_number": "276-524-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGUS",
        "first_name": "CASSANDRA",
        "middle_name": "R",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2022-04-11",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "10728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.