Individual provider Active NPI

Cassiopeia M Callens, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1548046998
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4009267 Issued in KY
Practice address
3904 Lonas Dr
Knoxville, TN 37909-3323
Phone
(270) 219-9065
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 4009267 KY Primary

Addresses

Primary practice location

3904 Lonas Dr
Knoxville, TN 37909-3323

Mailing address

3904 Lonas Dr
Knoxville, TN 37909-3323
Phone (270) 219-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240516002738 KY Practitioner - Nurse Practitioner 4284075599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4009267KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Signify Health, LLC CurrentSince Apr 23, 2024 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

14949 N US Highway 25 E
Ste 4
Corbin, KY 40701

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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 1

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1548046998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 LONAS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093323",
            "telephone_number": "270-219-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 LONAS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093323",
            "telephone_number": "270-219-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENS",
        "first_name": "CASSIOPEIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4009267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.