CASSIDY VICTORIA BELLVILLE (APRN) – Nurse Practitioner, NPI 1982495487

CASSIDY VICTORIA BELLVILLE (APRN) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. AG0520031 (MO). The NPI Number for CASSIDY VICTORIA BELLVILLE (APRN) is 1982495487

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
CASSIDY VICTORIA BELLVILLE (APRN)
NPI
1982495487
Phone
(573) 468-4186
Address
PO BOX 959318
Enumeration Date
14 May 2025
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734684186
Graduation Year
2025 (1 year ago)
PAC ID
2466953278
Group Practice PAC ID
2668380148
Professional Enrollment ID
I20250902002283
Address ID
MO630802354SU751XXRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:1State licenses:2Other names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for CASSIDY VICTORIA BELLVILLE (APRN)

  • PO BOX 959318

    SAINT LOUIS, MO 631959318

    Phone: (573) 468-4186

    Fax: (573) 860-6179

    Type: Mailing

  • 751 SAPPINGTON BRIDGE RD

    SULLIVAN, MO 630802354

    Phone: (573) 468-4186

    Type: Location

  • 29 High Trails Dr

    Eureka, MO 630253518

    Phone: (918) 361-6113

    Type: Location

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: 2025-09-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250902002283INurse PractitionerMOTBD

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 63195)

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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: 2668380148View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO
General SurgeryMO
-MO
Hospitalist, Internal MedicineAR
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to CASSIDY VICTORIA BELLVILLE (APRN)?
The federal identifier for CASSIDY VICTORIA BELLVILLE (APRN) is NPI 1982495487.
Is CASSIDY VICTORIA BELLVILLE (APRN) currently active in the NPI registry?
CMS-published data lists CASSIDY VICTORIA BELLVILLE (APRN) as an active registrant.
What does CASSIDY VICTORIA BELLVILLE (APRN) treat or focus on?
Patients typically see CASSIDY VICTORIA BELLVILLE (APRN) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CASSIDY VICTORIA BELLVILLE (APRN) practice in Missouri?
You will see Saint Louis, Missouri on file for CASSIDY VICTORIA BELLVILLE (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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