Individual provider Active NPI

Cassidy Marie Modesti, FNP-C

  • Family Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1225860729
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021804 Issued in NC
Practice address
10801 Monroe Rd Ste 100
Matthews, NC 28105-8336
Phone
(704) 364-4000
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021804 NC Primary
Family Nurse Practitioner 363LF0000X 2910414 NY

Addresses

Primary practice location

10801 Monroe Rd Ste 100
Matthews, NC 28105-8336

Mailing address

10801 Monroe Rd Ste 100
Matthews, NC 28105-8336
Phone (704) 364-4000

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
I20250630002610 NC Practitioner - Nurse Practitioner 4183137524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alzheimer'S Memory CenterGroup PAC ID 8022188549, 5 clinicians

Practice addresses (Care Compare)

10801 Monroe Rd
Suite 100
Matthews, NC 28105-8336
Phone (704) 364-4000

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2910414NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alzheimer'S Memory Center CurrentSince May 19, 2025 Accepting new patients

Locations

10801 Monroe Rd
Ste 100
Matthews, NC 28105
Phone (704) 364-4000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1225860729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 MONROE RD STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058336",
            "telephone_number": "704-364-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 MONROE RD STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058336",
            "telephone_number": "704-364-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTI",
        "first_name": "CASSIDY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021804",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2910414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.