Individual provider Active NPI

Michael Cassista, RN

  • Registered Nurse
  • Anchorage, AK
National Provider Identifier
1326433822
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
16927 Issued in AK
Practice address
3601 C St Ste 760
Anchorage, AK 99503-5923
Phone
(907) 334-2297
Fax
(907) 334-2270
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 16927 AK Primary

Addresses

Primary practice location

3601 C St Ste 760
Anchorage, AK 99503-5923

Mailing address

3601 C St Ste 760
Anchorage, AK 99503-5923
Phone (907) 334-2297

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
16927AKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alaska 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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1326433822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 C ST STE 760",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035923",
            "telephone_number": "907-334-2297",
            "fax_number": "907-334-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 C ST STE 760",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035923",
            "telephone_number": "907-334-2297",
            "fax_number": "907-334-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSISTA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "16927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.