Cassandra Mae Ullyott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06170530 Issued in ND

Practice address

228 1St Ave
Cando, ND 58324-7500

Phone

(701) 968-4411

NPI assigned

Jun 20, 2017

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Towner County Medical Center IncGroup PAC ID 6800798497, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Towner County Medical Center Hospital, Cando, ND, CCN 351331
• Towner County Medical Center Nursing home, CCN 35Z331

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Towner County Medical Center Inc

  dba Towner County Medical Center

  • Rural Health Clinic/Center
  • Cando, ND
  • NPI 1124041389
  Medicare reassignment NPD
• Towner County Medical Center Inc

  dba Towner County Medical Center

  • Rural Acute Care Hospital
  • Cando, ND
  • NPI 1154352169
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Towner County Medical Center Inc

  dba Towner County Medical Center

  • Rural Acute Care Hospital
  • Cando, ND
  • NPI 1154352169
  Care Compare affiliation
• Towner County Medical Center Inc

  dba Towner County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Cando, ND
  • NPI 1386665826

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1245760461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 U.S. 281",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "58324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 1ST AVE",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583247500",
            "telephone_number": "701-968-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLYOTT",
        "first_name": "CASSANDRA",
        "middle_name": "MAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "F06170530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Towner County Medical Center Inc (Towner County Medical Center)
• Towner County Medical Center Inc (Towner County Living Center)
• Towner County Medical Center Inc (Towner County Medical Center)
• Towner County Medical Center/St Francis
• Towner County Public Health
• Anthony M Wentz, LAC
• Jaci Dawn Wentz, PMHNP-BC
• Duane Allen Wuollet

• Family Nurse Practitioner in Cando, ND
• Providers in Cando, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.