Active NPI
Elizabeth Casstevens, NP-C
- Nurse Practitioner
- Mount Airy, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011147
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5011147 | Other | NC | NCBON |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital District of Surry County | Current | Accepting new patients | |
| Northern Hospital District of Surry County | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| County of Davie Office of Finance Agent | Past | Accepting new patients | |
| Northern Hospital District of Surry County | Past | 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
- 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.
-
dba Northern Urgent Care
- Urgent Care Clinic/Center
- Mount Airy, NC
- NPI 1255950325
-
dba Hospitalists of Mount Airy
- Internal Medicine Physician
- Mount Airy, NC
- NPI 1114467404
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NC, Nurse Practitioner
-
dba Northern Urgent Care
- Rural Health Clinic/Center
- Mount Airy, NC
- NPI 1720839228
-
dba Northern Obstetrics & Gynecology
- Obstetrics & Gynecology Physician
- Mount Airy, NC
- NPI 1043061559
-
dba Northern Family Medicine
- Family Medicine Physician
- Mount Airy, NC
- NPI 1215477591
-
dba Davie County Health Department
- State or Local Public Health Clinic/Center
- Mocksville, NC
- NPI 1720177140
-
- General Practice Physician
- Mount Airy, NC
- NPI 1770161853
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
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
- James Carpenter
- Thomas James Carpenter, NCCPSS, BS
- Angel Luis Cartagena Jr., NP
- Crystal Cartledge
- Charlotte Watson Cassell, FNP
- Beth Casto
- CCC of Mt. Airy, Inc (Central Continuing Care)
- Cel Tel Corp (One World Interpreting Services)
- Center for Family and Individual Growth, PA
- Central Long Term Care Facility Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.