Active NPI
Jacqueline Cassell, APRN
- Adult Health Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3009317
- Practice address
- 3099 Helmsdale PL
Lexington, KY 40509 - Phone
- (859) 258-6401
- Fax
- (859) 258-6438
- NPI assigned
- Oct 15, 2015
- Last updated
- Aug 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3009317 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 3009317 | KY | Primary |
Addresses
Primary practice location
3099 Helmsdale PL
Lexington, KY 40509
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7364
Other practice location 1
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400
Other practice location 2
881 Corporate Dr Ste 110
Lexington, KY 40503-2748
Phone (859) 493-2812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100372580 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560
642 N 3Rd St
Danville, KY 40422-1125
Phone (859) 236-3972
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009317 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Kentucky, PSC | Nurse Practitioner | Current | Accepting new patients |
| SHC Medical Partners of Kentucky, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners LTC VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners LTC VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
642 N 3rd St
Danville, KY 40422
Phone (859) 236-3972
853 Lexington Rd
Harrodsburg, KY 40330
Phone (859) 374-7791
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 266-2126
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
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.
-
- Nurse Practitioner
- Louisville, KY
- NPI 1447029798
-
- Nurse Practitioner
- Louisville, KY
- NPI 1417132614
-
- Nurse Practitioner
- Louisville, KY
- NPI 1992574354
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1053362293
Nurse Practitioner
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1184095200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 BLUEGRASS PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992361",
"telephone_number": "502-568-7364",
"fax_number": "502-568-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3099 HELMSDALE PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-258-6401",
"fax_number": "859-258-6438"
}
],
"practiceLocations": [
{
"address_1": "535 Wellington Way Ste 330",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031331",
"country_code": "US",
"telephone_number": "859-439-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "881 Corporate Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405032748",
"country_code": "US",
"telephone_number": "859-493-2812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSELL",
"first_name": "JACQUELINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3009317",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3009317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100372580",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.