Active NPI
Cassie Marie Tilton, NP-C
- Nurse Practitioner
- Kirksville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2019005388
- Practice address
- 1506 Crown Dr
Kirksville, MO 63501-2553 - Phone
- (660) 627-4493
- NPI assigned
- Mar 21, 2022
- Last updated
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2019005388 | MO | Primary |
Addresses
Primary practice location
1506 Crown Dr
Kirksville, MO 63501-2553
Mailing address
103 S Douglas Dr
Salina, KS 67401-3525
Phone (870) 416-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Missouri Health Council Inc
Practice addresses (Care Compare)
1506 Crown Dr
Kirksville, MO 63501-2553
Phone (660) 627-4493
209 N Missouri St
Macon, MO 63552-1745
Phone (660) 395-5045
52334 S Bus Hwy 5
Milan, MO 63556
Phone (660) 265-1042
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019005388 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Missouri Health Council, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Northeast Missouri Health Council Inc | Current | Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Current | Accepting new patients | |
| Northeast Missouri Health Council, Inc | Current | Accepting new patients | |
| Northeast Missouri Health Council Inc | Current | Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Current | Accepting new patients |
Locations
104 E Jackson St
Edina, MO 63537
Phone (660) 397-3517
1416 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
1506 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
402 W Jefferson St
Kirksville, MO 63501
Phone (660) 665-2741
209 N Missouri St
Macon, MO 63552
Phone (660) 385-4999
118 E Grand Ave
Memphis, MO 63555
Phone (660) 465-7522
52334 Business Highway 5
Milan, MO 63556
Phone (660) 265-1042
Interoperability endpoints
- cassie.tilton.p1@direct.nmhcinc.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northeast Family Health Clinics
- Federally Qualified Health Center (FQHC)
- Kirksville, MO
- NPI 1104829498
Nurse Practitioner
-
dba Northeast Missouri Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Edina, MO
- NPI 1881730893
-
dba Northeast Missouri Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Milan, MO
- NPI 1144366154
-
dba Memphis Community Health Center
- Internal Medicine Physician
- Memphis, MO
- NPI 1881307155
-
dba Macon Family Health
- Federally Qualified Health Center (FQHC)
- Macon, MO
- NPI 1487038881
-
dba OB/GYN Specialty Group/Northeast Pediatrics
- Federally Qualified Health Center (FQHC)
- Kirksville, MO
- NPI 1326184334
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
dba Northeast Regional Home Health
- Home Health Agency
- Kirksville, MO
- NPI 1598200917
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1093464745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S DOUGLAS DR",
"city": "SALINA",
"state": "KS",
"postal_code": "674013525",
"telephone_number": "870-416-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 CROWN DR",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635012553",
"telephone_number": "660-627-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "CASSIE",
"middle_name": "MARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2019005388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.