Cassandra Kondylis, ACNPC-AG
NPI 1114605250ActiveIndividual· Nurse Practitioner, Adult Health· West Bloomfield, MI
Nurse Practitioner, Adult Health (ACNPC-AG) in West Bloomfield, Michigan, trained at Kent State University College of Podiatric Medicine (class of 2023). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1114605250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNPC-AG |
| Sole proprietor | No |
| NPI issued | Jul 10, 2023 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4704425980 | MI |
| Nurse Practitioner, Acute Care | 363LA2100X | APRN.CNP.0034294 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Education and affiliations
| Medical school | Kent State University College of Podiatric Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Henry Ford Health SystemDetroit, MI · 2,570 clinicians
Hospital affiliation
- Henry Ford Health West Bloomfield HospitalW Bloomfield, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 adult health nurse practitioners in West Bloomfield · All adult health nurse practitioners in Michigan