NPIMap

Individual provider Active NPI

Cassandra L Farmer, PA-C

  • Physician Assistant
  • Edina, MN
National Provider Identifier
1023648235
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13229 Issued in MN
Practice address
7500 France Ave S
Edina, MN 55435-3400
Phone
(952) 927-6501
NPI assigned
Jan 16, 2020
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13229 MN Primary

Addresses

Primary practice location

7500 France Ave S
Edina, MN 55435-3400

Mailing address

3001 Metro Dr Ste 460
Bloomington, MN 55425-1548
Phone (651) 999-7022

Other names 1

  • Cassandra L Etheridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218003272 MN Practitioner - Physician Assistant 1153758867 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

2925 Chicago Ave
Minneapolis, MN 55407-1321

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

701 Dellwood St S
Cambridge, MN 55008-1920

800 E 28TH St
Minneapolis, MN 55407-3723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
64.59
Promoting interoperability
100
Improvement activities
40
Cost
84.88

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13229MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Bethesda Hospital CurrentSince Mar 15, 2020 Accepting new patients
Allina Health System CurrentSince Sep 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Feb 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 29, 2020 Accepting new patients
Fairview Health Services CurrentSince Feb 1, 2020 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Sep 1, 2021 Accepting new patients
Metropolitan Urologic Specialists PA PastSince Apr 16, 2023 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Interoperability endpoints

  • Direct secure messaging: cassandra.etheridge.1@20581.direct.athenahealth.com
  • Direct secure messaging: cetheridge437949@excellian.direct.allina.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1023648235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DR STE 460",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251548",
            "telephone_number": "651-999-7022",
            "fax_number": "651-999-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353400",
            "telephone_number": "952-927-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ETHERIDGE",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.