Cassidy Victoria Bellville, APRN
NPI 1982495487ActiveIndividual· Nurse Practitioner· Sullivan, MO
Nurse Practitioner (APRN) with Missouri Baptist Hospital of Sullivan, practicing in Sullivan, Missouri. Enrolled in Medicare as practitioner - nurse practitioner. Lists Missouri Baptist Sullivan Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1982495487 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | May 14, 2025 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2025017389 | MO |
| Nurse Practitioner, Gerontology | 363LG0600X | AG0520031 | MO |
| Nurse Practitioner, Adult Health | 363LA2200X | AG0520031 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Missouri Baptist Hospital of SullivanSullivan, MO · 38 clinicians
Hospital affiliations
- Missouri Baptist Sullivan HospitalSullivan, MO
- Parkland Health CenterFarmington, MO
- Phelps County Regional Medical CenterRolla, MO
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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