Wanda Lee Cassavettes, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Campbell, OH
NPI 1578850459 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1578850459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APRN.CNP-026196 (OH)
- Practice address
- 126 Pin Oak PL
Campbell, OH 44405-1683 - Phone
- (330) 518-3174
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quick Med Urgent Care LLC
Churchill Counseling Services, Inc.
Hospitalist Medicine Physicians of Ohio, Professional Corporation
Practice addresses (Care Compare)
3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085
3649 Canfield Rd
Suite 8
Canfield, OH 44406-9385
Phone (330) 270-3040
659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311
Hospital & facility affiliations
- Union Hospital
- Mercy Medical Center
- Aultman Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.8 of 100
- Quality
- 69.32
- Improvement activities
- 40
- Cost
- 78.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110812000098 | OH | Practitioner - Certified Clinical Nurse Specialist (CNS) | 2769651561 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP-026196 | OH | MD | Acute Care Nurse Practitioner |
| COA-11658-NS | OH | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psycho Social Therapies,LTD | Current |
Accepting new patients | |
| Quick Med Urgent Care LLC | Current |
Accepting new patients | |
| Generations Behavioral Health Clinic, LLC | Current |
Accepting new patients | |
| Usacs Integrated Acute Care Services of Ohio, LLC | Current |
Accepting new patients | |
| Preferred Care Associates, LLC | Current |
Accepting new patients | |
| Psycho Social Therapies,LTD | Current |
Accepting new patients | |
| Churchill Counseling Services, Inc | Current |
Accepting new patients | |
| Osh-Oh Physicians Group PC | Current |
Accepting new patients | |
| Hospital Medicine Services of Ohio, Inc. | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Current |
Accepting new patients | |
| Trumbull Mahoning Medical Group, Inc. | Past |
Accepting new patients | |
| Summit Medical Group, PLLC | Past |
Accepting new patients | |
| The Union Hospital Association | Past | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
141 N Forge St
Akron, OH 44304
Phone (330) 375-3361
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880
23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880
3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
425 Niles Cortland Rd SE
Ste 201
Warren, OH 44484
Phone (330) 856-3795
4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099
196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500
3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260
3551 Belmont Ave
Ste 19B
Youngstown, OH 44505
Phone (330) 222-4030
16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478
Interoperability endpoints
- https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
- wanda.cassavettes.1@19801.direct.athenahealth.com
- wcassavettes@landmarkhealth-direct.org
- https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP-026196 | OH | Yes |
| Adult Health Clinical Nurse Specialist | 364SA2200X | COA-11658-NS | OH |
Addresses
Primary practice location
126 Pin Oak PL
Campbell, OH 44405-1683
Mailing address
PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 733-9730
Other practice location 1
3551 Belmont Ave Ste 19B
Youngstown, OH 44505-1439
Phone (330) 222-4030
Other providers in Campbell, OH
- Christopher Leon Brown
- Alan James Bundza
- Campbell City Schools
- Campbell Pharmacy Inc
- Valarie Jean Casey
- Amanda Karen Chirichella
- Terri Christoff
- Marilyn Cintron
- Mayda Clark
- Carly Coldwell
All providers in Campbell, OH · Acute Care Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.