Cassandra Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.016147 Issued in IL

Practice address

14121 Parke Long CT Ste 201
Chantilly, VA 20151-1647

Phone

(312) 607-3905

NPI assigned

Jul 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cassandra Wilson Barnes Professional name

Medicare fee-for-service enrollment

Enrolled in IL, DE2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandra.wilson.1@14940.direct.athenahealth.com

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.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment Care Compare group
• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867
  Medicare reassignment NPD
• Delaware Hospice, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, DE
  • NPI 1821361072
  Medicare reassignment NPD
• Precision Care & Wellness, LLC

  dba Lavish Wellness and Aesthetics

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1285191494
  Medicare reassignment NPD
• Precision Care and Wellness LLC Dba Lavish Wellness and Aesthetics

  dba Lavish Wellness & Aesthetics

  • Primary Care Nurse Practitioner
  • Wilmington, DE
  • NPI 1912625351
  Medicare reassignment NPD
• Promise Healthcare NFP

  dba Frances Nelson Health Center

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1578821005
  Medicare reassignment NPD
• Ramazzini Occupational Health Associates

  dba Ramazzini Occupational Health Associates, LLC

  • Public Health & General Preventive Medicine Physician
  • Newark, DE
  • NPI 1831917533
  Medicare reassignment NPD
• Zarek Donohue LLC

  dba Progressive Health Of Delaware

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1750552535
  Medicare reassignment NPD
• Lindo Family Health & Wellness Care

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1003435256
  NPD
• Promise Healthcare NFP

  dba FN on Neil St.

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1043936438
  NPD
• Promise Healthcare NFP

  dba Promise Healthcare - Ready School

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1801687728
  NPD
• Zarek Donohue LLC

  dba Progressive Health Institute

  • Cardiac Rehabilitation Registered Nurse
  • Wilmington, DE
  • NPI 1144089046
  NPD

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1831612597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CATALINA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116902",
            "telephone_number": "312-607-3905",
            "fax_number": "312-801-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "312-607-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016147",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "WILSON BARNES",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Albert Wayne Williams, M.D.
• Brittney Williams, CPM, LM
• Frances Darlene Williams, LPC
• Jacob Williams
• Kelley Willis, MSW
• Coen Wilson
• Lauren Grace Wilson
• Mena Wilson
• Melissa Winchell, NP-C
• Roslynn Wingo, ATC

• Family Nurse Practitioner in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.