Cassandra B Cole, NP
Individual provider Active NPI Nurse Practitioner · Battlefield, MO
NPI 1821360256 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1821360256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2012002570 (MO)
- Practice address
- 3815 W Carnation LN
Battlefield, MO 65619-9009 - Phone
- (417) 844-7328
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000654 | MO | Practitioner - Nurse Practitioner | 4789843749 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012002570 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients |
Locations
2004 W Marler Ln
Ozark, MO 65721
Phone (417) 581-3006
3801 S National Ave
Ste 1122
Springfield, MO 65807
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281
2021 E Independence St
Springfield, MO 65804
Phone (417) 885-1445
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2012002570 | MO | Yes |
Addresses
Primary practice location
3815 W Carnation LN
Battlefield, MO 65619-9009
Mailing address
3815 W Carnation LN
Battlefield, MO 65619-9009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429551302 | Medicaid | MO |
Other providers in Battlefield, MO
- Nathan Daniel Bowen
- Shelli Chainey-Hancock
- Jordan Lynne Chalhoub
- Jesseca Clark
- Annie Laurie Cole-School
- Kendra Ann Collins
- Comc
- Marlene K. Feisthamel
- Hines Street Pharmacy 2 LLC
- Journey Counseling Center
All providers in Battlefield, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.