Individual provider Active NPI

Cassie Lynn Delawder, FNP-C

  • Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1770312993
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
105154 Issued in WV
Practice address
600 Suncrest Town Centre Dr
Morgantown, WV 26505-0589
Phone
(855) 988-2273
NPI assigned
Jul 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 105154 WV Primary

Addresses

Primary practice location

600 Suncrest Town Centre Dr
Morgantown, WV 26505-0589

Mailing address

600 Suncrest Town Centre Dr
Morgantown, WV 26505-0589
Phone (304) 598-4855

Other practice location 1

177 Minnicks Dr
Shinnston, WV 26431-7250
Phone (304) 476-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20241218001543 WV Practitioner - Nurse Practitioner 4082141817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 Suncrest Town Centre Dr
Morgantown, WV 26505-1872
Phone (304) 598-4478

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Oct 27, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 27, 2024 Accepting new patients

Locations

600 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-4478

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1770312993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050589",
            "telephone_number": "304-598-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050589",
            "telephone_number": "855-988-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Minnicks Dr",
            "address_purpose": "LOCATION",
            "city": "Shinnston",
            "state": "WV",
            "postal_code": "264317250",
            "country_code": "US",
            "telephone_number": "304-476-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAWDER",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "105154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.