Active NPI
Michelle D'Anne Kassens, CNM, ARNP
- Advanced Practice Midwife
- Vancouver, WA
National Provider Identifier
1104100569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP 60237682
- Practice address
- 700 NE 87TH Ave
Vancouver, WA 98664-4896 - Phone
- (360) 882-2778
- Fax
- (360) 604-1653
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP 60237682 | WA | Primary |
Addresses
Primary practice location
700 NE 87TH Ave
Vancouver, WA 98664-4896
Mailing address
1329 Ham Hill Rd
Centralia, WA 98531-5231
Phone (360) 623-0458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014928 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 60237682 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Capital Medical Center Specialty Physicians, LLC | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients |
Locations
3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1104100569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 HAM HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985315231",
"telephone_number": "360-623-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644896",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSENS",
"first_name": "MICHELLE",
"middle_name": "D'ANNE",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP 60237682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014928",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.