Cassandra Ann Burks, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R207717 Issued in MD

Practice address

13 Papago CT
Randallstown, MD 21133-1746

Phone

(443) 983-3211

NPI assigned

Dec 23, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Hope Health Systems IncGroup PAC ID 3678749959, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mental Health Concepts LLC

  • Community/Behavioral Health Agency
  • Reisterstown, MD
  • NPI 1548027329

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Hope Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1053445171
  Medicare reassignment Care Compare group
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group
• FMW Medspa Inc.

  • Family Medicine Physician
  • Towson, MD
  • NPI 1851910855
  Medicare reassignment NPD
• Healthy Lives, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1679171052
  Medicare reassignment NPD
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD
• Healthy Lives, LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1114268661
  NPD
• University of Maryland Community Medical Group, Inc.

  • Surgical Physician Assistant
  • Glen Burnie, MD
  • NPI 1295367894
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• James Lawrence Kernan Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1841337805
  Care Compare affiliation

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1700546223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PAPAGO CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331746",
            "telephone_number": "443-983-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PAPAGO CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331746",
            "telephone_number": "443-983-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Pine Heights Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295202",
            "country_code": "US",
            "telephone_number": "443-219-7901",
            "fax_number": "443-835-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "CASSANDRA",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryson Healthcare Services, Inc.
• Bryson Healthcare Services, Inc.
• Bryson Healthcare Services, Inc.
• Corde Buck, FNP-BC
• Phyllis Oddoye Bull, PHARMD
• Kimberly Marie Burroughs, R.N.
• Peggy Joann Bush-Thomas, REGISTERED DIETITIAN
• Allison Butler, PA-C
• Robin Butler
• Alyssa Lee Cain

• Psychiatric/Mental Health Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.

Verify at the official NPI Registry.