Individual provider Active NPI

Cassidy Stanger

  • School Registered Nurse
  • Bloomer, WI
National Provider Identifier
1235069451
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
1114262-30 Issued in WI
Practice address
401 8TH Ave
Bloomer, WI 54724-1500
Phone
(715) 568-2800
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 1114262-30 WI Primary

Addresses

Primary practice location

401 8TH Ave
Bloomer, WI 54724-1500

Mailing address

401 8TH Ave
Bloomer, WI 54724-1500

Other practice location 1

600 Jackson St
Bloomer, WI 54724-1692
Phone (715) 568-2800

Other practice location 2

1310 17th Ave
Bloomer, WI 54724-1573
Phone (715) 568-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1114262-30WIMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomer School District Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1235069451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 8TH AVE",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 8TH AVE",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241500",
            "telephone_number": "715-568-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Bloomer",
            "state": "WI",
            "postal_code": "547241692",
            "country_code": "US",
            "telephone_number": "715-568-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomer",
            "state": "WI",
            "postal_code": "547241573",
            "country_code": "US",
            "telephone_number": "715-568-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGER",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "1114262-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.