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

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: August 16, 2026.

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, is affiliated with Wellmont Bristol Regional Medical Center, 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
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

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.

Hospital Affiliations CMS Care Compare 2

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

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 15

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

Nurse Practitioner (Family)
2195 EUCLID AVE
BRISTOL, VA 24201
Pediatrics
2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201
Clinic/Center (Federally Qualified Health Center (FQHC))
2195 EUCLID AVE
BRISTOL, VA 24201
Nurse Practitioner (Family)
2195 EUCLID AVE
BRISTOL, VA 24201
Pharmacist
2195 EUCLID AVE
BRISTOL, VA 24201
Social Worker
2195 EUCLID AVE
BRISTOL, VA 24201
Pharmacy (Community/Retail Pharmacy)
2195 EUCLID AVE
BRISTOL, VA 24201
Social Worker (Clinical)
2195 EUCLID AVE
BRISTOL, VA 24201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Cassandra Ellison located?

Cassandra Ellison practices at 2195 Euclid Ave, Bristol, VA 24201. The listed phone number is (276) 669-5179.

What is Cassandra Ellison's specialty?

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

Is Cassandra Ellison enrolled in Medicare?

Yes. Cassandra Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Cassandra Ellison affiliated with any hospitals?

According to CMS data, Cassandra Ellison is affiliated with Wellmont Bristol Regional Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cassandra Ellison was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.