Individual provider Active NPI

Cassandra Brooke Ellison, FNP-BC

  • Family Nurse Practitioner
  • Meadowview, VA
National Provider Identifier
1720767114
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187560 Issued in VA
Practice address
13168 Meadowview Square
Meadowview, VA 24361
Phone
(276) 944-3999
Fax
(276) 496-0057
NPI assigned
Jul 13, 2023
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 0024187560 VA Primary

Addresses

Primary practice location

13168 Meadowview Square
Meadowview, VA 24361

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231005002840 VA Practitioner - Nurse Practitioner 4486009776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2195 Euclid Ave
Bristol, VA 24201-3655
Phone (276) 669-5179

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Incorporated CurrentSince Aug 15, 2023 Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince Aug 15, 2023 Accepting new patients

Locations

2195 Euclid Ave
Bristol, VA 24201
Phone (276) 669-5179

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

319 5th Ave
Saltville, VA 24370

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1720767114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 MEADOWVIEW SQUARE",
            "city": "MEADOWVIEW",
            "state": "VA",
            "postal_code": "24361",
            "telephone_number": "276-944-3999",
            "fax_number": "276-496-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "CASSANDRA",
        "middle_name": "BROOKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowview, VA

Sources for this page

Verify at the official NPI Registry.