Cassandra Wilson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

117298 Issued in WV

Practice address

497 Mall Rd
Oak Hill, WV 25901-6216

Phone

(304) 469-2905

NPI assigned

Aug 31, 2023

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 WV

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New River Health Association IncGroup PAC ID 2365348596, shared by 22 NPIs, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandra.wilson.1@16450.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 and National Provider Directory roles.

• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oak Hill, WV
  • NPI 1386318756
  Medicare reassignment NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scarbro, WV
  • NPI 1811983331
  Medicare reassignment NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1033088331
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coal City, WV
  • NPI 1235436478
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sophia, WV
  • NPI 1851836225
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Welch, WV
  • NPI 1457105082
  NPD (past)
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sophia, WV
  • NPI 1922811744
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1952187486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "117298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kay Willoughby, LSW
• Travis McKenzie Wills, D.D.S.
• Abbigail Wilson
• Allison Wilson
• Breanne Wilson
• Cynthia Wilson
• Lavera Wilson
• Tracy Wilson
• Vashawn Wood
• Woods Pharmacy Inc

• Nurse Practitioner in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.