Individual provider Active NPI

Cassandra June Kaiser-Barrow, APRN, FNP-C

  • Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1043881683
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0028997 Issued in OH
Practice address
6450 Wheatstone CT
Maumee, OH 43537-9402
Phone
(419) 866-6200
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0028997 OH
Nurse Practitioner 363L00000X APRN.CNP.0028997 OH Primary

Addresses

Primary practice location

6450 Wheatstone CT
Maumee, OH 43537-9402

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (248) 398-6459

Other practice location 1

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Phone (877) 906-9699

Other practice location 2

221 S Main St Ste 201
Royal Oak, MI 48067-2653
Phone (248) 398-6459

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL swgcares.com Health Information Exchange (HIE) Seniors Wellness Group, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210716002738 OH Practitioner - Nurse Practitioner 0042612707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

6450 Wheatstone CT
Maumee, OH 43537-9402
Phone (419) 866-6200

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028997OHMDNurse Practitioner
0028997OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Oct 19, 2023 Accepting new patients
Toledo Clinic Incorporated CurrentSince Oct 19, 2023 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

6450 Wheatstone Ct
Maumee, OH 43537
Phone (419) 861-2333

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1043881683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "248-398-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 WHEATSTONE CT",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379402",
            "telephone_number": "419-866-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Indian Wood Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435374055",
            "country_code": "US",
            "telephone_number": "877-906-9699",
            "fax_number": "888-483-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480672653",
            "country_code": "US",
            "telephone_number": "248-398-6459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER-BARROW",
        "first_name": "CASSANDRA",
        "middle_name": "JUNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0028997",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "swgcares.com",
            "affiliation": "Y",
            "endpointDescription": "Seniors Wellness Group",
            "affiliationName": "Seniors Wellness Group, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "221 S Main St Ste 201",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480672653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.