Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassandra Vestal

Individual provider Nurse Practitioner · NPI 1790346419

Cassandra Vestal is a Nurse Practitioner in Carterville, Illinois. Qualified in 2019, 7 years ago. Practices with Pain Management Center SC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019

Practice location Address checks out

108 N Division St
Carterville, IL 62918-1245
Phone: (618) 985-3929
Fax: (618) 985-9276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019546 (IL)

Record details

NPI number1790346419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESSeptember 19, 2019
Mailing address108 N Division St, Carterville, IL 62918-1245

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pain Management Center Sc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Carterville