Cassandra Burns, FNP
Individual provider Active NPI Family Nurse Practitioner · Derry, NH
NPI 1093540445 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1093540445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 072344-23 (NH)
- Practice address
- 6 Tsienneto Rd Ste 100
Derry, NH 03038-1595 - Phone
- (603) 537-1300
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14 A Tsienneto Rd
Derry, NH 03038-1505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122001062 | NH | Practitioner - Nurse Practitioner | 3678008026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Medical Center, PA | Current |
Accepting new patients |
Locations
14B Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1317
14 Tsienneto Rd
Bldg B
Derry, NH 03038
6 Tsienneto Rd
Ste 100
Derry, NH 03038
50 Michels Way
Unit 102
Londonderry, NH 03053
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAEDAA/Endpoint/BAEDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 072344-23 | NH | Yes |
Addresses
Primary practice location
6 Tsienneto Rd Ste 100
Derry, NH 03038-1595
Mailing address
6 Tsienneto Rd Ste 100
Derry, NH 03038-1595
Other providers in Derry, NH
- Nancy Buckley
- Kimberlee M Bunkartas
- Adam Stanley Burch IV
- Lydia Burke
- Ainsleigh Burman
- Jeffrey Byer
- Kyle Cahill
- Stephen F. Caldwell
- Thomas Call
- Gwendolyn Callahan
All providers in Derry, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.