Individual provider Active NPI

Cassie Jeanette Meadows, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1114379625
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21373 Issued in TN
Practice address
151 Wendover Dr
Unit 5
Kingsport, TN 37663-2655
Phone
(423) 239-0099
Fax
(423) 239-0273
NPI assigned
Jul 8, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21373 TN Primary
Registered Nurse 163W00000X RN0000186618 TN

Addresses

Primary practice location

151 Wendover Dr
Unit 5
Kingsport, TN 37663-2655

Mailing address

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000
Phone (423) 282-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160929001309 TN Practitioner - Nurse Practitioner 7911294236 Reassigns benefits to 3 organizations
I20161107001728 VA Practitioner - Nurse Practitioner 7911294236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000186618TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Aug 17, 2019 Accepting new patients
Southeastern Physician Services PC CurrentSince Sep 21, 2016 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Dec 19, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2022 Accepting new patients
Trinity Medical Services, PLLC Family CurrentSince Sep 1, 2017 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

106 Ferrell Ave
Ste 5
Kingsport, TN 37663
Phone (423) 239-0099

151 Wendover Dr
Unit 5
Kingsport, TN 37663
Phone (423) 239-0099

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

600 Waldon Rd NE
Abingdon, VA 24210
Phone (276) 628-2111

103 North St
Bristol, VA 24201
Phone (276) 642-7901

2966 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-8144

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

3610 Winchester Dr
Portsmouth, VA 23707
Phone (757) 297-0725

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: cassie.meadows@87329552007172.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1114379625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "STE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376158000",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WENDOVER DR",
            "address_2": "UNIT 5",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632655",
            "telephone_number": "423-239-0099",
            "fax_number": "423-239-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "CASSIE",
        "middle_name": "JEANETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000186618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.