MIRANDA SUE CASSITY (AGACNP-BC, FNP-BC) – Nurse Practitioner, NPI 1841772472
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for MIRANDA SUE CASSITY (AGACNP-BC, FNP-BC)
812 N Logan Ave
Danville, IL 618323752
Phone: (214) 712-2789
Type: Location
1684 Bush Ln
Crawfordsville, IN 479333364
Phone: (765) 365-9500
Type: Location
South County Road 600 East, Plainfield, Hendricks County, Indiana, 46168, United States
PLAINFIELD, IN 461688629
Phone: (317) 902-1804
Type: Mailing
Putnam County Hospital, 1542, South Bloomington Street, Fox Ridge, Greencastle, Putnam County, Indiana, 46135, United States
GREENCASTLE, IN 461352212
Phone: (765) 655-2684
Type: Location
1684 BUSH LN
CRAWFORDSVILLE, IN 479333364
Phone:
Type: Mailing
1764 E. STATE ROUTE 163
CLINTON, IN 478427327
Phone: (765) 820-2120
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: 2018-10-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181002003300 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 32 | 14 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 25 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 16 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 61832)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | PA | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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