Elizabeth Marie Cassandra – Family Nurse Practitioner

Key facts

NPI: 1942977400
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 5019036 (NC)
Practice address: 104 College Dr
Flat Rock, NC 28731-7756
Phone: (800) 226-8874
NPI assigned: Aug 24, 2021
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

QSM-NC, PA Surgery Physician · Durham, NC · NPI 1881136893

Medicare reassignment Care Compare group NPD FAMILY · NC

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Ohio Medical University, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: QSM-NC PA (17 clinicians)

Practice addresses (Care Compare)

400 Pelt Dr
Fayetteville, NC 28301-3412
Phone (910) 822-0515

Merit-based Incentive Payment System (MIPS)

Final score: 88.23 of 100 (group)
Quality: 50.17
Promoting interoperability: 100
Improvement activities: 40
Cost: 77.26

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231107002570	NC	Practitioner - Nurse Practitioner	5799173993	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
QSM-NC, PA	Family	Current since Sep 2, 2024	Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

400 Pelt Dr
Fayetteville, NC 28301
Phone (910) 822-0515

104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

1170 Linkhaw Rd
Lumberton, NC 28358
Phone (910) 671-1163

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	APRN.CNP.0029125	OH
Family Nurse Practitioner	363LF0000X	5019036	NC	Yes

Addresses

Primary practice location

104 College Dr
Flat Rock, NC 28731-7756

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

Other names

Elizabeth Marie Young Former name

Other providers in Flat Rock, NC

All providers in Flat Rock, NC · Family Nurse Practitioner in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.