Kasandra Lee Wylin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704232307 Issued in MI

Practice address

69111 N Forest Ave
Richmond, MI 48062-1521

Phone

(586) 625-2798

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kasandra.wylin@339721039314948.direct.elationemr.com
• Direct secure messaging: kasandra.wylin.1@30520.direct.athenahealth.com

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.

• Wellmetry Health, LLC

  • Urgent Care Clinic/Center
  • Richmond, MI
  • NPI 1700749538
  NPD Authorized official
• Comforting Angel Home Care LLC

  • Home Health Agency
  • Clinton Township, MI
  • NPI 1437342961
  NPD (past)
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144748351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69111 N. FOREST AVE",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "48062",
            "telephone_number": "586-625-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69111 N FOREST AVE",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621521",
            "telephone_number": "586-625-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIN",
        "first_name": "KASANDRA",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704232307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahson Winters, CCAR
• Alivia Wood
• Woodward Detroit CVS, L.L.C.
• Krystle Kathleen Wright-Loveless
• Meredith Sue Wright, LLMSW, CAADC
• Dorothy Ann Yope, LPC
• Jordan Phillip Zapinski, PT
• Price Broderick Zimmer
• Ariel Jocelyn Zukowski

• Family Nurse Practitioner in Richmond, MI
• Providers in Richmond, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.