Active NPI
Pamela Keeley Cassell, FNP
- Family Nurse Practitioner
- Roanoke, VA
National Provider Identifier
1366687121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167984
- Practice address
- 4461 Starkey Rd
Ste 201
Roanoke, VA 24018-0622 - Phone
- (540) 375-3790
- Fax
- (540) 375-8621
- NPI assigned
- Dec 9, 2008
- Last updated
- Jul 7, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167984 | VA | Primary |
Addresses
Primary practice location
4461 Starkey Rd
Ste 201
Roanoke, VA 24018-0622
Mailing address
4461 Starkey Rd, Suite 201
Roanoke, VA 24018
Phone (540) 345-4946
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366687121 | Medicaid | VA | |
| P00679395 | Other | RR MEDICARE | |
| MC12133 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blacksburg Neurology PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Christiansburg, VA
- NPI 1114937109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1366687121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 STARKEY RD, SUITE 201",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24018",
"telephone_number": "540-345-4946",
"fax_number": "540-982-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 STARKEY RD",
"address_2": "STE 201",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180622",
"telephone_number": "540-375-3790",
"fax_number": "540-375-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELL",
"first_name": "PAMELA",
"middle_name": "KEELEY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366687121",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00679395",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MC12133",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.