CASSIDY THETFORD AGNP-C
NPI 1013703966
Nurse Practitioner in Memphis, TN

Q: What is Cassidy Thetford's NPI number?

The NPI number for Cassidy Thetford is 1013703966. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Q: What is Cassidy Thetford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Thetford was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2025PECOS EnrolledAccepts Medicare Assignment

6019 WALNUT GROVE RD, MEMPHIS, TN 38120(901) 226-5000 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cassidy Thetford Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY THETFORD AGNP-C (NPI 1013703966) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (38571) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1013703966

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASSIDY THETFORDCredential: AGNP-C

Location Address6019 WALNUT GROVE RDMemphis, TN 38120-2113

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (877) 348-1281 · Fax (901) 227-3206

Phone(901) 226-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 17, 2025

Last NPPES UpdateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1013703966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 38571

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6019 WALNUT GROVE RD, Memphis, TN 38120

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Secondary Practice Location 1

Location 16019 Walnut Grove Rd Ste 210Memphis, TN 38120-2113 · Phone (901) 226-4910 · Fax (901) 226-4774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassidy Thetford Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618480880

PECOS Enrollment IDI20250701001131

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MILLICENT COOK CRNA

Nurse Anesthetist, Certified Registered