Individual provider Active NPI

Cassandra Jacqueline Talberg, APRN FNP-C

  • Family Nurse Practitioner
  • Onamia, MN
National Provider Identifier
1073308979
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12721 Issued in MN
Practice address
200 Elm St N
Onamia, MN 56359-7901
Phone
(320) 532-3154
NPI assigned
Apr 11, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12721 MN Primary

Addresses

Primary practice location

200 Elm St N
Onamia, MN 56359-7901

Mailing address

107 Vincent St S
Pierz, MN 56364-4125
Phone (320) 290-3592

Other identifiers 1

IdentifierTypeStateIssuer
12721OtherMNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516000939 MN Practitioner - Nurse Practitioner 8123546827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12721MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System CurrentSince May 30, 2025 Accepting new patients
Mille Lacs Health System CurrentSince May 30, 2025 Accepting new patients
Mille Lacs Health System Past Accepting new patients

Locations

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1073308979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VINCENT ST S",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563644125",
            "telephone_number": "320-290-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST N",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563597901",
            "telephone_number": "320-532-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERG",
        "first_name": "CASSANDRA",
        "middle_name": "JACQUELINE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12721",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

Sources for this page

Verify at the official NPI Registry.