Individual provider Active NPI

Elizabeth Casstevens, NP-C

  • Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1326514860
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011147 Issued in NC
Practice address
2133 Rockford St Ste 1400
Mount Airy, NC 27030-6594
Phone
(336) 719-6199
Fax
(336) 719-2313
NPI assigned
Oct 23, 2018
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 5011147 NC Primary

Addresses

Primary practice location

2133 Rockford St Ste 1400
Mount Airy, NC 27030-6594

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other identifiers 1

IdentifierTypeStateIssuer
5011147OtherNCNCBON

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejohnson406703@direct.novanthealth.org

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
I20190213001044 NC Practitioner - Nurse Practitioner 2567700719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 Welch Rd
Suite a
Mount Airy, NC 27030-5274
Phone (336) 719-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Sep 20, 2022 Accepting new patients
Northern Hospital of Surry County Current Accepting new patients
Northern Hospital of Surry County CurrentSince Sep 20, 2022 Accepting new patients
Northern Hospital District of Surry County CurrentSince Nov 1, 2021 Accepting new patients
Northern Hospital District of Surry County CurrentSince Nov 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
County of Davie Office of Finance Agent Past Accepting new patients
Northern Hospital District of Surry County PastSince Apr 6, 2021 Accepting new patients

Locations

105 N Crutchfield St
Dobson, NC 27017
Phone (336) 783-8100

1016 S South St
Mount Airy, NC 27030
Phone (336) 783-8900

119 Welch Rd
Ste A
Mount Airy, NC 27030
Phone (336) 719-6200

280 N Pointe Blvd
Mount Airy, NC 27030
Phone (336) 786-4133

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ecasstevens@direct.nrh.nchie.net

Organizations & group practices 8

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1326514860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 ROCKFORD ST STE 1400",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270306594",
            "telephone_number": "336-719-6199",
            "fax_number": "336-719-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSTEVENS",
        "first_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5011147",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejohnson406703@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2133 Rockford St Ste 1400",
            "city": "Mount Airy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270306594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.