NPIMap

Individual provider Active NPI

Cassandra Lee Twardowski, CNP

  • Nurse Practitioner
  • Eagle Bend, MN
National Provider Identifier
1124860531
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11479 Issued in MN
Practice address
35035 County 1
Eagle Bend, MN 56446-9903
Phone
(218) 296-2029
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11479 MN Primary

Addresses

Primary practice location

35035 County 1
Eagle Bend, MN 56446-9903

Mailing address

35035 County 1
Eagle Bend, MN 56446-9903
Phone (218) 296-2029

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
I20241104002613 MN Practitioner - Nurse Practitioner 0648703280 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Centracare Dr
Long Prairie, MN 56347-2100
Phone (320) 732-2141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2024 Accepting new patients
Cura of Sauk Centre LLC CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients

Locations

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • Direct secure messaging: ctwardowski847303@direct.centracare.com

Organizations & group practices 6

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 10

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1124860531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35035 COUNTY 1",
            "city": "EAGLE BEND",
            "state": "MN",
            "postal_code": "564469903",
            "telephone_number": "218-296-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35035 COUNTY 1",
            "city": "EAGLE BEND",
            "state": "MN",
            "postal_code": "564469903",
            "telephone_number": "218-296-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWARDOWSKI",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "11479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Bend, MN

Sources for this page

Verify at the official NPI Registry.