Cassandra Brillhart-Green, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

202280 Issued in OK

Practice address

619 N Main St BLDG D
Muskogee, OK 74401-4431

Phone

(918) 682-0222

NPI assigned

Jun 4, 2021

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian Health Care Resource CenterGroup PAC ID 0042117590, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13866/brand/1/csg/1/fhir/r4

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.

• Indian Health Care Resource Center

  • Clinic/Center
  • Tulsa, OK
  • NPI 1427034958

  TX

  Medicare reassignment Care Compare group NPD
• Arkansas Verdigris Valley Health Centers, Inc.

  • Family Medicine Physician
  • Porter, OK
  • NPI 1083740047
  NPD
• Arkansas Verdigris Valley Health Centers, Inc.

  dba Coweta Health Center

  • Family Medicine Physician
  • Coweta, OK
  • NPI 1346712072
  NPD
• Arkansas Verdigris Valley Health Centers,Inc.

  dba Muskogee Health Center West

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1568976991
  NPD
• Indian Health Care Resource Center of Tulsa, Inc.

  • Pharmacy
  • Tulsa, OK
  • NPI 1457447609
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1932776390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 E 151ST ST S",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST BLDG D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-682-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Coweta",
            "state": "OK",
            "postal_code": "744295000",
            "country_code": "US",
            "telephone_number": "918-486-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILLHART-GREEN",
        "first_name": "CASSANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "202280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Steve Brennan, B.A.
• Brentwood Extended Care & Rehab. LLC
• Craige M Brestel, M.D.
• Megan Courtney Briggs
• Bright Smiles Pediatric Dental of Muskogee LLC
• Felicia Lauren Brittle
• Dawn Melody Brizendine
• Broadway Healthcare, LLC
• Broadway Manor Management L.L.C (Broadway Manor Nursing Home)
• Broadway Vision Associates, PLC

• Family Medicine Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.