CASSANDRA BROOKE ELLISON FNP-BC
NPI 1720767114
Nurse Practitioner - Family in Bristol, VA

Q: What is Cassandra Ellison's NPI number?

The NPI number for Cassandra Ellison is 1720767114. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Cassandra Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Ellison was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment

2195 EUCLID AVE, BRISTOL, VA 24201(276) 669-5179(276) 466-8870 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cassandra Brooke Ellison Fnp-bc NPPES

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

CASSANDRA BROOKE ELLISON FNP-BC (NPI 1720767114) is an individual family provider in Bristol, Virginia, licensed in Virginia (0024187560) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720767114

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASSANDRA BROOKE ELLISONCredential: FNP-BC

Location Address2195 EUCLID AVEBristol, VA 24201-3655

Mailing AddressPo Box 729Saltville, VA 24370-0729 · (276) 496-4433 · Fax (276) 496-0057

Phone(276) 669-5179

Fax(276) 466-8870

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 13, 2023

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1720767114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024187560

2195 EUCLID AVE, Bristol, VA 24201

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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

Cassandra Brooke Ellison Fnp-bc 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 ID4486009776

PECOS Enrollment IDI20231005002840

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24201 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 14

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

DR. GAYLE CATHERINE BATES M.D.

Pediatrics

2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201

Bristol City (276) 669-5179

MS. DONNA ELAINE BOGGS LCSW

Social Worker (Clinical)

2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201

Bristol City (276) 669-5179

SALLY BLACKBURN NP

Nurse Practitioner (Family)

2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201

Bristol City (276) 669-5179

STEPHANIE BRANHAM NP

Nurse Practitioner (Family)