Individual provider Active NPI

Kassandra Brynn Sergent, APRN

  • Family Nurse Practitioner
  • Augusta, KY
National Provider Identifier
1336032762
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4036569 Issued in KY
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

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 0941469621, 19 clinicians
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

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

LicenseStateTypeSpecialty
4036569KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. Family CurrentSince Jul 1, 2025 Accepting new patients
Jeffrey Leider MD PLLC Current Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Jeffrey Leider MD PLLC Family CurrentSince May 29, 2025 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.

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

Verify at the official NPI Registry.