Individual provider Active NPI

Cassidy Alexander Fox, APRN, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1942825591
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0026827 Issued in OH
Practice address
2602 Quarry Lake Dr
Columbus, OH 43204-4950
Phone
(740) 977-8134
NPI assigned
Jun 9, 2020
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 APRN.CNP.0026827 OH Primary

Addresses

Primary practice location

2602 Quarry Lake Dr
Columbus, OH 43204-4950

Mailing address

1687 Quarry Trce
Columbus, OH 43204-4944
Phone (740) 977-8134

Other identifiers 1

IdentifierTypeStateIssuer
0417319MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cassidy.fox@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200929001355 OH Practitioner - Nurse Practitioner 0042639882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11850 Sycamore Trace
Suite a
Plain City, OH 43064
Phone (614) 881-3473

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0026827OHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cassidy.fox.1@14940.direct.athenahealth.com
  • Direct secure messaging: cassidy.fox@779530956636164.direct.elationemr.com

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1942825591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 QUARRY TRCE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044944",
            "telephone_number": "740-977-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 QUARRY LAKE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044950",
            "telephone_number": "740-977-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "CASSIDY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417319",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cassidy.fox@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1248 Kinneys Ln",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.