Individual provider Active NPI

Ilene Nan Kassman, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1578304028
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354172-01 Issued in NY
Practice address
2960 Grand Concourse
Bronx, NY 10458-1904
Phone
(718) 295-6815
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 F354172-01 NY Primary

Addresses

Primary practice location

2960 Grand Concourse
Bronx, NY 10458-1904

Mailing address

36 Carlton Dr
Mount Kisco, NY 10549-4756
Phone (914) 263-6492

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
I20250102002709 NY Practitioner - Nurse Practitioner 6709313752 Reassigns benefits to 2 organizations

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
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

480 Bedford Rd
Chappaqua, NY 10514-1715
Phone (914) 232-3255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F354172-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Advantage Care Medicine PC CurrentSince Oct 31, 2024 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

2960 Grand Concourse
Apt L1
Bronx, NY 10458
Phone (718) 295-6815

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

480 Bedford Rd
Bldg B
Chappaqua, NY 10514
Phone (914) 242-9400

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ikassman305284@northwell.direct-ci.com
  • Direct secure messaging: ilene.kassmannp.p1@direct.westchesterhealth.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1578304028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARLTON DR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105494756",
            "telephone_number": "914-263-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581904",
            "telephone_number": "718-295-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSMAN",
        "first_name": "ILENE",
        "middle_name": "NAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354172-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.