CASSIDY VICTORIA BELLVILLE APRN
NPI 1982495487
Nurse Practitioner in Sullivan, MO

Q: What is Cassidy Bellville's NPI number?

The NPI number for Cassidy Bellville is 1982495487. It was assigned to this individual provider in the NPPES registry on May 14, 2025. The provider is also known as Cassidy Victoria Bellville Aprn.

Q: What is Cassidy Bellville'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 Bellville was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 14, 2025PECOS EnrolledAccepts Medicare Assignment

751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080(573) 468-4186 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, May 14, 2025 (2 updates tracked since 2025).

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About Cassidy Victoria Bellville Aprn NPPES

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

CASSIDY VICTORIA BELLVILLE APRN (NPI 1982495487) is an individual nurse practitioner in Sullivan, Missouri, licensed in Missouri (2025017389) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1982495487

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASSIDY VICTORIA BELLVILLECredential: APRN

Location Address751 SAPPINGTON BRIDGE RDSullivan, MO 63080-2354

Mailing AddressPo Box 959318Saint Louis, MO 63195-9318 · (573) 468-4186 · Fax (573) 860-6179

Phone(573) 468-4186

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 14, 2025

Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1982495487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2025017389

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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AG0520031 (MO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG0520031 (MO)

751 SAPPINGTON BRIDGE RD, Sullivan, MO 63080

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Other Names 1

Professional Name (2)Cassidy Victoria Bellville Aprn

Secondary Practice Location 1

Location 129 High Trails DrEureka, MO 63025-3518 · Phone (918) 361-6113

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 Victoria Bellville Aprn 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 ID2466953278

PECOS Enrollment IDI20250902002283

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.

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number261337

Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63080 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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. KATE JOANNA RANDOLPH PA

Physician Assistant (Medical)

751 SAPPINGTON BRIDGE RD, DEPT RADIOLOGY
SULLIVAN, MO 63080

Franklin County (314) 996-5170

DAVID J WADDELL MD

Hospitalist