Individual provider Active NPI

Cassandra Jo Ford, FNP

  • Family Nurse Practitioner
  • Shadyside, OH
National Provider Identifier
1265251367
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0037605 Issued in OH
Practice address
3948 Central Ave
Shadyside, OH 43947-1310
Phone
(740) 325-1313
NPI assigned
Oct 7, 2024
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 0037605 OH Primary

Addresses

Primary practice location

3948 Central Ave
Shadyside, OH 43947-1310

Mailing address

102 Kell LN
Saint Clairsville, OH 43950-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250113002903 OH Practitioner - Nurse Practitioner 2163950544 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
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

3948 Central Ave
Shadyside, OH 43947-1310
Phone (740) 325-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0037605OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Oct 14, 2024 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients

Locations

3948 Central Ave
Shadyside, OH 43947
Phone (740) 325-1313

Organizations & group practices 2

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.

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1265251367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KELL LN",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 CENTRAL AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471310",
            "telephone_number": "740-325-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CASSANDRA",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shadyside, OH

Sources for this page

Verify at the official NPI Registry.