Myrna Cassion, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2021161964 Issued in NC

Practice address

1401 71St School Rd
Fayetteville, NC 28314-2814

Phone

(201) 647-0284

NPI assigned

Jan 26, 2022

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  NC, Single Specialty

  Medicare reassignment NPD
• Southern Mobile Medical Group PA

  • General Practice Physician
  • Charlotte, NC
  • NPI 1730903675
  Medicare reassignment
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  NC

  Medicare reassignment

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1275285660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 MESSENGER DR",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275927419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 71ST SCHOOL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142814",
            "telephone_number": "201-647-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSION",
        "first_name": "MYRNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "2021161964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Bryton Cary, DO
• Maria Anali Casarrubias Ramirez
• Carl Bruce Casciere, PT
• Lauren Ann Casey, PT, DPT
• Brittany Caskey, PHARMD
• Jeffrey E Cassisi, PH.D.
• Stephanie Hopkins Castellat, PHARMD
• Kevin Castillo, DO
• Dennis Manalac Castor, LPT
• Isabella Maria Castro-Barros

• Gerontology Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.