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

Mrs. Cassandra Kondylis, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1114605250

Mrs. Cassandra Kondylis, ACNPC-AG is a Nurse Practitioner in West Bloomfield, Michigan. Graduated from Kent State University College of Podiatric Medicine in 2023, 3 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
3
Trained at
Kent State University College of Podiatric Medicine
Licensed in
MI, OH
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (800) 653-6568
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9500 Euclid Ave, Cleveland, OH 44195-0002 — (216) 444-2200

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704425980 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN.CNP.0034294 (OH)

Record details

NPI number1114605250
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2023 (3 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Bloomfield