Individual provider Active NPI

Cassandra Lynn Wineland, NP

  • Pediatrics Physician
  • Sandusky, OH
National Provider Identifier
1194333740
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
APRN.CNP.0027199 Issued in OH
Practice address
167 E Washington Row
Sandusky, OH 44870-2609
Phone
(419) 217-3329
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024179762 VA
Pediatrics Physician 208000000X APRN.CNP.0027199 OH Primary

Addresses

Primary practice location

167 E Washington Row
Sandusky, OH 44870-2609

Mailing address

202 W Strub Rd
Sandusky, OH 44870-5777
Phone (419) 577-4694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027199OHMDPediatrics Physician
0024179762VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peds on Wheels Pediatrics CurrentSince Feb 11, 2024 Accepting new patients

Locations

167 E Washington Row
Sandusky, OH 44870
Phone (419) 217-3329

Organizations & group practices 1

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1194333740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W STRUB RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705777",
            "telephone_number": "419-577-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E WASHINGTON ROW",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702609",
            "telephone_number": "419-217-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINELAND",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024179762",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0027199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.