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

Cassandra Wilson

Individual provider Family Nurse Practitioner · NPI 1831612597

Cassandra Wilson is a Nurse Practitioner in Chantilly, Virginia. Qualified in 2017, 9 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Delaware and Illinois.

Years since qualifying
9
Licensed in
DE, IL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

14121 Parke Long Ct Ste 201
Chantilly, VA 20151-1647
Phone: (312) 607-3905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.016147 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence LG-0001162 (DE)

Record details

NPI number1831612597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2017
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address210 Catalina Dr, Newark, DE 19711-6902

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chantilly