Individual provider Active NPI

Kandy Fink Levasseur, C.R.N.P.

  • Pediatric Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1851383749
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R122010 Issued in MD
Practice address
500 Greene St
Cumberland, MD 21502-2755
Phone
(301) 724-7616
Fax
(301) 724-4811
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R122010 MD Primary

Addresses

Primary practice location

500 Greene St
Cumberland, MD 21502-2755

Mailing address

500 Greene St
Cumberland, MD 21502-2755
Phone (301) 724-7616

Other identifiers 2

IdentifierTypeStateIssuer
9610029000MedicaidWV
107502100MedicaidMD

Other names 1

  • Kandy Michelle Fink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20130426000270 MD Practitioner - Nurse Practitioner 3173769726 Reassigns benefits to 1 organization
I20180613001436 WV Practitioner - Nurse Practitioner 3173769726 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians Inc CurrentSince May 7, 2018 Accepting new patients
University Healthcare Physicians, Inc. CurrentSince May 7, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
Children's Medical Group, P.a. CurrentSince Jan 23, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

500 Greene St
Cumberland, MD 21502
Phone (301) 724-7616

2010 Doctor Oates Dr
Ste 102
Martinsburg, WV 25401
Phone (304) 264-6343

61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

61 Campus Dr
Martinsburg, WV 25404
Phone (304) 274-6343

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

2000 Professional Ct
Ste C
Martinsburg, WV 25401
Phone (304) 263-8853

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

201 E 5th Ave
Ste 1
Ranson, WV 25438
Phone (304) 728-1812

Interoperability endpoints

  • Direct secure messaging: kandylevasseurcrnp@childrensm.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1851383749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "KANDY",
        "middle_name": "FINK",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R122010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9610029000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107502100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDY",
            "last_name": "FINK",
            "middle_name": "MICHELLE",
            "credential": "C.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.