Individual provider Active NPI

Cassie Broyles, CNP,-FNP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1649775198
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022463 Issued in OH
Practice address
325 Regency Ridge Dr
Dayton, OH 45459-4252
Phone
(937) 436-3833
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 APRN.CNP.022463 OH Primary

Addresses

Primary practice location

325 Regency Ridge Dr
Dayton, OH 45459-4252

Mailing address

9941 Grabill Rd
New Vienna, OH 45159-9620
Phone (937) 402-1174

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.022463MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180425001228 OH Practitioner - Nurse Practitioner 2567726656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
Ohio Wound Care Associates LLCGroup PAC ID 7719393032, 17 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services LLC Family CurrentSince Nov 11, 2024 Accepting new patients
Highland Urgent Care CurrentSince Jun 1, 2021 Accepting new patients
Ohio Wound Care Associates LLC CurrentSince Dec 1, 2025 Accepting new patients
Lake Effect Health Current Accepting new patients
Cleveland Surgical Associates, Inc. CurrentSince Jul 15, 2022 Accepting new patients
Trusted Health Care, Inc PastSince Mar 20, 2018 Accepting new patients

Locations

231 W Main St
Unit A
Hillsboro, OH 45133
Phone (937) 393-3300

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1649775198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 GRABILL RD",
            "city": "NEW VIENNA",
            "state": "OH",
            "postal_code": "451599620",
            "telephone_number": "937-402-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 REGENCY RIDGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594252",
            "telephone_number": "937-436-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "CASSIE",
        "credential": "CNP,-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN.CNP.022463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.