MEDICARE: CASSANDRA CRANE BEHSETA PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0024184720	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024184720	VA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC004709	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0024184720	OTHER	VA	VIRGINIA BON

General Provider Information

NPI Number	:	1639805120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA CRANE BEHSETA PMHNP

Provider Business Mailing Address
First Line	:	49 MEADOWVIEW EST
Second Line	:
City	:	MITCHELL
State	:	IN
Zip	:	47446-6753
Country	:	US
Telephone Number	:	812-583-8764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 N TAFT ST APT 1001
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2653
Country	:	US
Telephone Number	:	812-583-8764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	12/09/2025

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