Individual provider Active NPI

Jacqueline Cassell, APRN

  • Adult Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1184095200
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3009317 Issued in KY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100372580MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001456 KY Practitioner - Nurse Practitioner 1658671987 Reassigns benefits to 4 organizations

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
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians

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

LicenseStateTypeSpecialty
3009317KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Nurse Practitioner CurrentSince Jun 30, 2023 Accepting new patients
SHC Medical Partners of Kentucky, LLC Nurse Practitioner CurrentSince Feb 5, 2018 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 23, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 23, 2025 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.

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

Verify at the official NPI Registry.