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Deactivated NPI 1902446800 Deactivated / Inactive NPI Female Practitioner

Cassandra Moore , PMHNP-BC

Nurse Practitioner • Brandon, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cassandra Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2020
NPI Deactivation Date September 10, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

Cassandra Moore, PMHNP-BC was a registered Nurse Practitioner practicing in Brandon, MS. Throughout an active medical career spanning 1 years, Cassandra Moore provided care at the practice location at 201 N COLLEGE ST STE 105 until profile deactivation on 2020-09-10.

Practice Location & Contact Primary Location

Practice Address

201 N College St Ste 105

Brandon, MS 390424439

Telephone 6018256010
Fax 6018257146
Associated Practice Facility / Clinic
🏢 Mindfull, P. A. Facility NPI 1962050310

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Brandon, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Brandon, MS (1098 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 903707

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christina Bellisario , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063346187

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Allie Williams

Case Manager/Care Coordinator

NPI 1184488769
Ashley Prewitt , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1861011553

Psychiatric-Mental Health Nurse Practitioner

Roxian Odom , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1922652049

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Sally Sharp , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992424279

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 10, 2020

Record deactivated on September 10, 2020

NPI Profile Active January 09, 2020

NPI status registered as active in NPPES database

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Updated Practice Location January 09, 2020

Registered at 201 N COLLEGE ST STE 105, BRANDON, MS 390424439 (Tel: 6018256010)

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Updated Business Mailing Address January 09, 2020

Registered at 245 E PETROS RD, PEARL, MS 392088737 (Tel: 6015000840)

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Provider Name / Credentials Updated January 09, 2020

Recorded as CASSANDRA MOORE, PMHNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2020

Nurse Practitioner (License #903707 in MS)

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Initial NPI Registration & Enumeration January 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902446800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2020
Last Update: January 09, 2020
Deactivation Date: September 10, 2020

Mailing Address

245 E Petros Rd

Pearl, MS 392088737

Phone: 6015000840

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.