Individual provider Active NPI

Cassandra Dawn Restrepo, MSN, FNP-C

  • Family Nurse Practitioner
  • Davidson, NC
National Provider Identifier
1225527617
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010520 Issued in NC
Practice address
127 S Main St
Davidson, NC 28036-8096
Phone
(704) 892-7211
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010520 NC Primary

Addresses

Primary practice location

127 S Main St
Davidson, NC 28036-8096

Mailing address

127 S Main St
Davidson, NC 28036-8096
Phone (704) 892-7211

Other identifiers 1

IdentifierTypeStateIssuer
F10170247OtherNC363A00000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180806003357 NC Practitioner - Nurse Practitioner 8628326717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5010520NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince May 17, 2018 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

13440 NC Highway 210
Benson, NC 27504
Phone (919) 207-3086

10515 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 494-3466

127 S Main St
Davidson, NC 28036
Phone (704) 892-7211

559 River Hwy
Mooresville, NC 28117
Phone (704) 633-3438

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1225527617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368096",
            "telephone_number": "704-892-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368096",
            "telephone_number": "704-892-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "CASSANDRA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363A00000X",
            "identifier": "F10170247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.