Active NPI
Kassandra Brynn Sergent, APRN
- Family Nurse Practitioner
- Augusta, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4036569
- Practice address
- 214 E 2ND St
Augusta, KY 41002-1102 - Phone
- (606) 375-5784
- NPI assigned
- Jun 3, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4036569 | KY | Primary |
Addresses
Primary practice location
214 E 2ND St
Augusta, KY 41002-1102
Mailing address
214 E 2ND St
Augusta, KY 41002-1102
Phone (606) 375-5784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613003105 | KY | Practitioner - Nurse Practitioner | 5496266710 | Reassigns benefits to 1 organization |
| I20250725000628 | OH | Practitioner - Nurse Practitioner | 5496266710 | 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
- Jeffrey Leider MD PLLCMobile Medical Inc
Practice addresses (Care Compare)
35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166
740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4036569 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Family | Current | Accepting new patients |
| Jeffrey Leider MD PLLC | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Current | Accepting new patients | |
| Jeffrey Leider MD PLLC | Family | Current | Accepting new patients |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Onhealthcare, LLC | Past | Accepting new patients |
Locations
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Ft Wright, KY
- NPI 1063788818
Family
-
- Geriatric Medicine (Family Medicine) Physician
- Perrysburg, OH
- NPI 1558682179
Family
-
- Dentist
- Perrysburg, OH
- NPI 1629228572
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
-
- Geriatric Medicine (Family Medicine) Physician
- Indianapolis, IN
- NPI 1528324225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1336032762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E 2ND ST",
"city": "AUGUSTA",
"state": "KY",
"postal_code": "410021102",
"telephone_number": "606-375-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 2ND ST",
"city": "AUGUSTA",
"state": "KY",
"postal_code": "410021102",
"telephone_number": "606-375-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGENT",
"first_name": "KASSANDRA",
"middle_name": "BRYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4036569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.