EMILY CASSELBURY (FNP) – Family Nurse Practitioner, NPI 1245636372

EMILY CASSELBURY (FNP) is a healthcare provider. based in Melrose park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209011891 (IL). The NPI Number for EMILY CASSELBURY (FNP) is 1245636372

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EMILY CASSELBURY (FNP)
NPI
1245636372
Phone
(708) 486-2700
Address
1111 SUPERIOR ST
Enumeration Date
18 November 2014
Last Update Date
18 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086605900
Graduation Year
2014 (12 years ago)
PAC ID
8426373655
Group Practice PAC ID
5496658874
Professional Enrollment ID
I20150211000750
Address ID
IL603041022OA520XXAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for EMILY CASSELBURY (FNP)

  • 1111 SUPERIOR ST

    SUITE 104

    MELROSE PARK, IL 601604138

    Phone: (708) 486-2700

    Fax: (708) 486-2702

    Mailing address matches the actual address.

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: 2015-02-11

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
I20150211000750INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80305Testing for presence of drug, read by direct observation4812$0
99214Established patient office or other outpatient visit, 30-39 minutes3511$0
View full utilization report →

Insurance plans in this area (ZIP 60160)

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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: 5496658874View full group profile
NameSpecialtyState
General SurgeryIL
Internal MedicineIL
Diagnostic RadiologyWI
Internal MedicineMI
Hematology/Oncology, Hospice/Palliative CareIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerIL
Nurse PractitionerIL
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

Can I verify EMILY CASSELBURY (FNP) with an NPI only?
You can start verification with NPI 1245636372 for EMILY CASSELBURY (FNP), then check state licensing separately.
Does the file indicate EMILY CASSELBURY (FNP) is practicing under active NPI?
Directory data currently reports EMILY CASSELBURY (FNP) as active.
What taxonomy line describes EMILY CASSELBURY (FNP)?
For research purposes, treat EMILY CASSELBURY (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect EMILY CASSELBURY (FNP) on a map?
Expect Melrose Park, Illinois as a primary anchor for EMILY CASSELBURY (FNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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