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

Kassidy B Stevens, CNP

Individual provider Nurse Practitioner · NPI 1457901092

Kassidy B Stevens, CNP is a Nurse Practitioner in Sylvania, Ohio. Graduated from Vanderbilt University School of Medicine in 2019, 7 years ago. Practices with Promedica Central Physicians, a 784-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Trained at
Vanderbilt University School of Medicine
Licensed in
OH
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5308 Harroun Rd # 285
Sylvania, OH 43560-2193
Phone: (419) 824-1785
Fax: (419) 824-5953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.025629 (OH)

Record details

NPI number1457901092
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address5308 Harroun Rd # 285, Sylvania, OH 43560-2193

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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