Individual provider Active NPI

Cassidy Emerson, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Dunnville, KY
National Provider Identifier
1295620763
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4000508 Issued in KY
Practice address
12561 S US 127
Dunnville, KY 42528-6055
Phone
(606) 787-3561
Fax
(606) 787-3404
NPI assigned
Jun 12, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4000508 KY Primary

Addresses

Primary practice location

12561 S US 127
Dunnville, KY 42528-6055

Mailing address

12561 S US 127
Dunnville, KY 42528-6055
Phone (606) 787-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251231003584 KY Practitioner - Nurse Practitioner 0547756223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell County HospitalGroup PAC ID 6204887243, 22 clinicians

Practice addresses (Care Compare)

124 Dowell Rd
Russell Springs, KY 42642-4235

153 Dowell Rd
Russell Springs, KY 42642-4579
Phone (270) 866-4141

169 Joe T Petty Dr
Russell Springs, KY 42642-8533
Phone (270) 865-1002

PO Box
Suite 1610
Russell Springs, KY 42642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4000508KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russell County Hospital CurrentSince Nov 20, 2025 Accepting new patients
Russell County Hospital Nurse Practitioner CurrentSince Nov 20, 2025 Accepting new patients

Locations

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

92 Joe T Petty Dr
Russell Springs, KY 42642
Phone (270) 866-7611

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, 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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1295620763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12561 S US 127",
            "city": "DUNNVILLE",
            "state": "KY",
            "postal_code": "425286055",
            "telephone_number": "606-787-3561",
            "fax_number": "606-787-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12561 S US 127",
            "city": "DUNNVILLE",
            "state": "KY",
            "postal_code": "425286055",
            "telephone_number": "606-787-3561",
            "fax_number": "606-787-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CASSIDY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4000508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnville, KY

Sources for this page

Verify at the official NPI Registry.