Cassie S Jessie, APRN
Individual provider Active NPI Family Nurse Practitioner · Greensburg, KY
NPI 1619687712 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1619687712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3018134 (KY)
- Practice address
- 462 Commerce Dr
Greensburg, KY 42743-1402 - Phone
- (270) 932-2424
- Fax
- (270) 932-2522
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20230119000503 | KY | Practitioner - Nurse Practitioner | 9436520079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018134 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
478 Whirlaway Dr
#100
Danville, KY 40422
Phone (859) 236-6613
555 Trojan Trl
Glasgow, KY 42141
Phone (270) 651-4909
507 Trojan Trl
Glasgow, KY 42141
Phone (270) 651-6315
1309 Roseville Rd
Glasgow, KY 42141
215 Parkview Dr
Glasgow, KY 42141
Phone (270) 659-2400
164 Scottie Dr
Glasgow, KY 42141
Phone (270) 659-0432
304 E College St
Glasgow, KY 42141
Phone (844) 235-0900
629 W Cherry St
Glasgow, KY 42141
Phone (270) 629-5029
505 Trojan Trl
Glasgow, KY 42141
Phone (270) 629-5505
8788 Tompkinsville Rd
Glasgow, KY 42141
Phone (270) 427-2611
300 James T Rogers Dr
Glasgow, KY 42141
Phone (270) 651-3806
2002 N Jackson Hwy
Glasgow, KY 42141
Phone (270) 629-2300
4601 New Salem Rd
Glasgow, KY 42141
Phone (270) 678-2722
2477 Austin Tracy Rd
Lucas, KY 42156
Phone (270) 646-2236
45 Indian Mill Rd
Park City, KY 42160
Phone (270) 749-5665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3018134 | KY | Yes |
Addresses
Primary practice location
462 Commerce Dr
Greensburg, KY 42743-1402
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100865720 | Medicaid | KY |
Other providers in Greensburg, KY
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Hospital Radiological Associates,LLC
- Jason W Slinker DC PSC
- Wesley Kevin Jenkins
- Journey to Independent Living
- Hannah Judd
- Melissa G Judd
- Cassandra K Justice
- Christian Grant Karnes
All providers in Greensburg, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.