Active NPI
Cassandra Skul, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Independence, OH
National Provider Identifier
1679925747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.019434
- Practice address
- 4700 Rockside Rd
Suite 100
Independence, OH 44131-2155 - Phone
- (216) 750-2600
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.019434 | OH | Primary |
Addresses
Primary practice location
4700 Rockside Rd
Suite 100
Independence, OH 44131-2155
Mailing address
12019 Willard Ave
Garfield Heights, OH 44125-3615
Phone (216) 544-6476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7830 Johnson Rd
Indianapolis, IN 46250-2075
Phone (317) 396-0683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.019434 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaquest Holdings LTD | Current | Accepting new patients | |
| Viaquest Community Solutions, LLC | Current | Accepting new patients | |
| Viaquest Hospice, LLC | Past | Accepting new patients | |
| Viaquest Home Health of Ohio, LLC | Past | Accepting new patients |
Locations
7830 Johnson Rd
Indianapolis, IN 46250
Phone (317) 396-0683
525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600
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 and National Provider Directory roles.
-
dba Insights
- Mental Health Counselor
- Indianapolis, IN
- NPI 1508594094
-
- Home Health Agency
- Independence, OH
- NPI 1700188711
-
- Community Based Hospice Care Agency
- Dublin, OH
- NPI 1568715464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1679925747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12019 WILLARD AVE",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441253615",
"telephone_number": "216-544-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 ROCKSIDE RD",
"address_2": "SUITE 100",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312155",
"telephone_number": "216-750-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUL",
"first_name": "CASSANDRA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.019434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.