Individual provider Active NPI

Cassandra Anne Squirrell, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1346816949
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310256 Issued in NY
Practice address
45 Hunting SPG
Rochester, NY 14624-4357
Phone
(585) 705-8784
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 00000 NY
Adult Health Nurse Practitioner 363LA2200X 310256 NY Primary

Addresses

Primary practice location

45 Hunting SPG
Rochester, NY 14624-4357

Mailing address

45 Hunting SPG
Rochester, NY 14624-4357
Phone (585) 705-8784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210917000658 NY Practitioner - Nurse Practitioner 9638576630 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Internal Medicine of Brighton, PLLCGroup PAC ID 8628448370, 8 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone (585) 424-5440

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310256NYMDAdult Health Nurse Practitioner
00000NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Brighton, PLLC CurrentSince May 8, 2025 Accepting new patients
Rochester General Hospital PastSince Jun 1, 2021 Accepting new patients

Locations

300 White Spruce Blvd
Ste 100
Rochester, NY 14623
Phone (585) 424-5440

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1346816949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HUNTING SPG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244357",
            "telephone_number": "585-705-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HUNTING SPG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244357",
            "telephone_number": "585-705-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRRELL",
        "first_name": "CASSANDRA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "00000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.