Individual provider Active NPI

Cassandra Fortune, MSN, MBA, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, NY
National Provider Identifier
1205230182
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406112 Issued in NY
Practice address
5 Laura Rd
Monroe, NY 10950-5206
Phone
(845) 659-4508
Fax
(845) 654-8645
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 744800 NY
Licensed Practical Nurse 164W00000X 318569-1 NY
Licensed Practical Nurse 164W00000X 26NP07167800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406112 NY Primary

Addresses

Primary practice location

5 Laura Rd
Monroe, NY 10950-5206

Mailing address

5 Laura Rd
Monroe, NY 10950-5206
Phone (845) 659-4508

Other names 1

  • Cassandra Chery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241018003422 NY Practitioner - Nurse Practitioner 5991237687 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Physicians of Ny PLLCGroup PAC ID 3072933738, 8 clinicians
Michael Hargrove MD PLLCGroup PAC ID 9537515937, 7 clinicians

Practice addresses (Care Compare)

30 Cragmere Rd
Airmont, NY 10901-7520
Phone (845) 357-1230

3505 Hill Blvd
Suite K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

5 Laura Rd
Monroe, NY 10950-5206
Phone (845) 659-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
744800NYMDRegistered Nurse
26NP07167800NJMDLicensed Practical Nurse
318569-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Hargrove MD PLLC CurrentSince Sep 1, 2024 Accepting new patients
Care Physicians of Ny, PLLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

30 Cragmere Rd
Airmont, NY 10901
Phone (845) 348-2000

3155 Grace Ave
Bronx, NY 10469
Phone (718) 304-2866

2000 Main St
Peekskill, NY 10566
Phone (845) 592-2335

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1205230182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAURA RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505206",
            "telephone_number": "845-659-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAURA RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505206",
            "telephone_number": "845-659-4508",
            "fax_number": "845-654-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "CASSANDRA",
        "credential": "MSN, MBA, RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "744800",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318569-1",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07167800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "CHERY",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.