Individual provider Active NPI

Kasie Michelle Cassell, PMHNP-C

  • Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1114306719
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024172284 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260
Phone
(703) 423-9704
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172284 VA
Women's Health Nurse Practitioner 363LW0102X 0024172284 VA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024172284 VA
Nurse Practitioner 363L00000X 0024172284 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260

Mailing address

4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260
Phone (703) 423-9704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220302000898 DC Practitioner - Nurse Practitioner 2365836616 Reassigns benefits to 2 organizations
I20240716002642 MD Practitioner - Nurse Practitioner 2365836616 Reassigns benefits to 1 organization
I20240916000961 VA Practitioner - Nurse Practitioner 2365836616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

9891 Broken Land Pkwy
Suite 210
Columbia, MD 21046-3001
Phone (410) 823-6408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172284VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perinatal Project Partners Psychiatric/Mental Health Current Accepting new patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Dec 26, 2021 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Jul 1, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

2331 York Rd
Ste 100
Timonium, MD 21093

1447 York Rd
Ste 601
Timonium, MD 21093
Phone (667) 220-0097

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.kasiecassell@131200.advancedmd-direct.com

Organizations & group practices 4

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1114306719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511260",
            "telephone_number": "703-423-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511260",
            "telephone_number": "703-423-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELL",
        "first_name": "KASIE",
        "middle_name": "MICHELLE",
        "credential": "PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172284",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024172284",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024172284",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.