Individual provider Active NPI

Lera Susan Kasseroler, GNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1821032665
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP113576 Issued in TX
Practice address
2750 S 8TH St
Beaumont, TX 77701-7719
Phone
(409) 839-1000
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050510001144 TX Practitioner - Nurse Practitioner 8820038730 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Community Hospital, L.L.C. CurrentSince Jun 20, 2024 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Qamar U Arfeen MD PA CurrentSince May 3, 2014 Accepting new patients
Spindletop MHMR Services CurrentSince Mar 12, 2015 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jun 20, 2024 Accepting new patients
Spindletop MHMR Services Gerontology CurrentSince Mar 12, 2015 Accepting new patients
Edward B Gripon MD PA CurrentSince Jun 1, 2016 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

3406 College St
#200
Beaumont, TX 77701
Phone (409) 813-2332

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

3406 College St
Ste 100
Beaumont, TX 77701

3560 Delaware St
Ste 502
Beaumont, TX 77706
Phone (409) 899-4472

1305 S Main St
Jasper, TX 75951
Phone (409) 489-1100

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 724-7900

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 532657 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP113576 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2750 S 8TH St
Beaumont, TX 77701-7719

Mailing address

7777 E Boardwalk
Lumberton, TX 77657-4901
Phone (409) 719-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2015.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1821032665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E BOARDWALK",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776574901",
            "telephone_number": "409-719-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEROLER",
        "first_name": "LERA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "532657",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP113576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.