Individual provider Active NPI

Charlotte Watson Cassell, FNP

  • Family Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1831269091
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200530 Issued in NC
Practice address
1006 Old Rockford St
Mount Airy, NC 27030-5361
Phone
(336) 719-0400
NPI assigned
Nov 8, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 200530 NC Primary

Addresses

Primary practice location

1006 Old Rockford St
Mount Airy, NC 27030-5361

Mailing address

1006 Old Rockford St
Mount Airy, NC 27030-5361
Phone (336) 719-0400

Other identifiers 1

IdentifierTypeStateIssuer
66914OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111109000644 NC Practitioner - Nurse Practitioner 3870623887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County Current Accepting new patients
Northwest Medical Partners Current Accepting new patients
Health Plus by Nurse Practitioners PastSince Mar 9, 2010 Accepting new patients
BRMG-PC PastSince Oct 1, 2013 Accepting new patients

Locations

280 N Pointe Blvd
Mount Airy, NC 27030
Phone (336) 786-4133

Interoperability endpoints

  • Direct secure messaging: ccassell@direct.nrh.nchie.net
  • Direct secure messaging: ccassell@nmgfm.gwaydirect.com
  • Direct secure messaging: charlotte-cassell@prohealthcenter.e-mdsdirect.com
  • Direct secure messaging: charlotte-w-cassell@prohealthcenter.e-mdsdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1831269091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "336-719-0400",
            "fax_number": "336-648-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "336-719-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELL",
        "first_name": "CHARLOTTE",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "66914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.