Individual provider Active NPI

Cassie J Hackman, FNP

  • Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1750886966
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008040A Issued in IN
Practice address
411 W Tipton St
Seymour, IN 47274-2363
Phone
(812) 523-4818
Fax
(812) 522-0579
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008040A IN Primary

Addresses

Primary practice location

411 W Tipton St
Seymour, IN 47274-2363

Mailing address

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 523-4818

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002451 IN Practitioner - Nurse Practitioner 8820345861 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008040AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Mar 14, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 22, 2023 Accepting new patients
Jackson County Schneck Memorial Hospital Nurse Practitioner CurrentSince Oct 10, 2023 Accepting new patients
FC Indiana, LLC Nurse Practitioner CurrentSince Mar 14, 2023 Accepting new patients
J Clayton Spine and Health LLC CurrentSince Jan 23, 2023 Accepting new patients
Family Medical Center, P.C. CurrentSince Jul 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 22, 2023 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

905 W Keegans Way
Ste 7
Greensburg, IN 47240
Phone (812) 519-2963

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010

2070 N State Highway 3
North Vernon, IN 47265
Phone (812) 772-4380

1366 N Gardner St
Ste 140
Scottsburg, IN 47170
Phone (812) 522-0172

1366 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-3524

1725 E Tipton St
#200
Seymour, IN 47274
Phone (812) 519-2963

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

225 S Pine St
Ste 200
Seymour, IN 47274
Phone (812) 524-3330

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

2026 N Ewing St
Seymour, IN 47274
Phone (812) 524-3333

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1750886966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-523-4818",
            "fax_number": "812-522-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-523-4818",
            "fax_number": "812-522-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "CASSIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.