Individual provider Active NPI

Cassandra Lou Robertson, DO

  • Family Medicine Physician
  • Jasper, IN
National Provider Identifier
1124657747
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02006454A Issued in IN
Practice address
751 W 9TH St
Jasper, IN 47546-2609
Phone
(812) 996-7474
Fax
(812) 996-7508
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 02006454A IN Primary

Addresses

Primary practice location

751 W 9TH St
Jasper, IN 47546-2609

Mailing address

751 W 9TH St
Jasper, IN 47546-2609
Phone (812) 996-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829004155 IN Practitioner - Family Practice 2567885643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

751 W 9TH St
Jasper, IN 47546-2609
Phone (812) 996-7474

Hospital & facility affiliations

  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02006454AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 4, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Clinic, Inc Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 4, 2023 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

751 W 9th St
Jasper, IN 47546
Phone (812) 482-7474

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

966 Bartley St
Jasper, IN 47546
Phone (812) 996-5425

Interoperability endpoints

  • Direct secure messaging: crobertson1047095@direct.deaconess.com
  • Direct secure messaging: crobertson18847@direct.mhhcc.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1124657747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462609",
            "telephone_number": "812-996-7474",
            "fax_number": "812-996-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462609",
            "telephone_number": "812-996-7474",
            "fax_number": "812-996-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CASSANDRA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006454A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.