CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053673194

CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) is a healthcare provider. based in Freeport, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, MSN, R.N.. They hold a License No. 041.385931 (IL). The NPI Number for CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) is 1053673194

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.)
NPI
1053673194
Phone
(815) 599-6000
Address
1045 W Stephenson St
Enumeration Date
14 June 2012
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154894400
Graduation Year
2025 (1 year ago)
PAC ID
0941729040
Group Practice PAC ID
5799698346
Professional Enrollment ID
I20250521003578
Address ID
IL611042315RO1401XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.)

  • 1045 W Stephenson St

    Freeport, IL 610324864

    Phone: (815) 599-6000

    Type: Location

  • 2213 FARMDALE LN

    FREEPORT, IL 610322981

    Phone:

    Type: Mailing

  • 1401 E STATE ST

    ROCKFORD, IL 611042315

    Phone: (779) 696-4400

    Type: Location

  • 701 W LAMM RD

    FREEPORT, IL 610329630

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250521003578INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799698346View full group profile
NameSpecialtyState
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineWI
Thoracic Surgery, Cardiac SurgeryMI
Physical Therapist In Private PracticeIL
-IL
General SurgeryGA
Internal MedicineWI
N E U R O S U R G E R YIL
-WI
Orthopedic SurgeryWI
Physician AssistantWI

Reviews

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Frequently asked questions

How is CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) identified in CMS data?
CMS-hosted NPPES data lists CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) with NPI 1053673194.
Is CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) still practicing?
CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) is currently listed as active in the public NPI registry.
What healthcare role does CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) hold?
Scheduling teams often label CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.)?
CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.)'s geographic hint is Freeport, Illinois in our summary view.
Is the information about CASSANDRA LEE EUELL (PMHNP-BC, MSN, R.N.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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