Individual provider Active NPI

Cassie Marie Banks, MS FNP

  • Family Nurse Practitioner
  • Gordon, NE
National Provider Identifier
1154581429
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110982 Issued in NE
Practice address
300 E 8TH St
Gordon, NE 69343-1123
Phone
(308) 282-0401
NPI assigned
Jun 11, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 167820 CO
Family Nurse Practitioner 363LF0000X 110982 NE Primary

Addresses

Primary practice location

300 E 8TH St
Gordon, NE 69343-1123

Mailing address

300 E 8TH St
Gordon, NE 69343-1123

Other names 1

  • Cassie Marie Thorsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20081021000877 NE Practitioner - Nurse Practitioner 5698833580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon Memorial HospitalGroup PAC ID 3072403575, 13 clinicians

Practice addresses (Care Compare)

300 E 8TH St
Gordon, NE 69343-1123
Phone (308) 282-0401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
167820COMDFamily Nurse Practitioner
110982NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Memorial Hospital Current Accepting new patients
Gordon Memorial Hospital CurrentSince Feb 24, 2022 Accepting new patients
Gordon Memorial Hospital Past Accepting new patients
Gordon Memorial Health Services Past Accepting new patients

Locations

300 E 8th St
Gordon, NE 69343
Phone (308) 282-0401

807 N Ash St
Gordon, NE 69343
Phone (308) 282-0401

Organizations & group practices 4

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 6

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1154581429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431123",
            "telephone_number": "308-282-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CASSIE",
        "middle_name": "MARIE",
        "credential": "MS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "167820",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "THORSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gordon, NE

Sources for this page

Verify at the official NPI Registry.