Casandra Elaine Roy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209012471 Issued in IL

Practice address

16 Pebble Hill Dr
Belleville, IL 62223-2250

Phone

(618) 401-9304

Fax

(586) 204-0381

NPI assigned

Apr 7, 2015

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Casandra Elaine Rivera Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Elizabeths Hospital of the Hospital Sisters of the Third OrderGroup PAC ID 6406753011, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HSHS St Elizabeth's Hospital Hospital, O Fallon, IL, CCN 140187
• Memorial Hospital Hospital, Belleville, IL, CCN 140185

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casandra.roy@winae-il.direct.office.nextgen.com

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.

• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba St. Elizabeth's BHS Professional Services

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Belleville, IL
  • NPI 1194736728
  Medicare reassignment Care Compare group NPD
• Express Medical Care, LLC

  dba Express Medical Care

  • Urgent Care Clinic/Center
  • Fairview Heights, IL
  • NPI 1801102215
  Medicare reassignment NPD
• Healogics Specialty Physicians of Illinois, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Alton, IL
  • NPI 1215355110
  Medicare reassignment NPD
• Pamela L Kuda, APN-BC

  • Adult Health Nurse Practitioner
  • O'Fallon, MO
  • NPI 1295775989

  IL

  Medicare reassignment
• Wellness Interventional Needs & Education LLC

  • Family Nurse Practitioner
  • Belleville, IL
  • NPI 1922696897
  Authorized official Same address or phone
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  NPD

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

• Protestant Memorial Medical Center, Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  Care Compare affiliation

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1720474687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 23917",
            "address_2": "5731 MOUNT PLEASANT LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622230917",
            "telephone_number": "618-401-9304",
            "fax_number": "586-204-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PEBBLE HILL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622232250",
            "telephone_number": "618-401-9304",
            "fax_number": "586-204-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Elizabeth Blvd Ste 3000",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691099",
            "country_code": "US",
            "telephone_number": "618-234-2120",
            "fax_number": "618-222-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "CASANDRA",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012471",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015009441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720474687",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crivera249405@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1 Saint Elizabeth Blvd Ste 3000",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "RIVERA",
            "middle_name": "ELAINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Leigh Roser, PA
• Maria Anne Ross, PT
• Jennifer Rosselli, PHARM.D.
• Adele M. Roth, M.D.
• Jessica Marie Roth
• Janet P. Rudderham, PA-C
• Elisa Ruden, M.S., CCC-SLP
• Brenda L Ruehrup
• Debora Kay Ruel
• Lito T Rufin, NP

• Family Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.