Active NPI
Cassandra Hong Olivas, DNP FNP-C
- Nurse Practitioner
- Fargo, ND
National Provider Identifier
1225917149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202948
- Practice address
- 4671 38TH St S
Fargo, ND 58104-7866 - Phone
- (701) 404-5100
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 202948 | ND | Primary |
Addresses
Primary practice location
4671 38TH St S
Fargo, ND 58104-7866
Mailing address
2883 Rivers Bend Dr E
West Fargo, ND 58078-8509
Phone (540) 413-7292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126001474 | ND | Order and Referring Only - Nurse Practitioner | 6901398999 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202948 | ND | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1225917149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2883 RIVERS BEND DR E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580788509",
"telephone_number": "540-413-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 38TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047866",
"telephone_number": "701-404-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAS",
"first_name": "CASSANDRA",
"middle_name": "HONG",
"credential": "DNP FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "202948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.