Individual provider Active NPI

Cassandra Kendrick Elder, MSN, CNM, RN

  • Advanced Practice Midwife
  • Raleigh, NC
National Provider Identifier
1356869465
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
32 Issued in NC
Practice address
9029 Old Creedmoor Rd
Raleigh, NC 27613-6530
Phone
(336) 504-1416
NPI assigned
Sep 8, 2017
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 32 NC Primary
Midwife 176B00000X 655 NC
Obstetrics & Gynecology Physician 207V00000X 655 NC

Addresses

Primary practice location

9029 Old Creedmoor Rd
Raleigh, NC 27613-6530

Mailing address

PO Box 10492
Raleigh, NC 27605-0492

Other practice location 1

1004 Dresser Ct Ste 102
Raleigh, NC 27609-7325
Phone (919) 654-7309

Other practice location 2

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552
Phone (919) 556-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109003278 NC Practitioner - Certified Nurse Midwife (CNM) 1759647597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
32NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cassandra.elder.3@7773.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1356869465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10492",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 OLD CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136530",
            "telephone_number": "336-504-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Dresser Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097325",
            "country_code": "US",
            "telephone_number": "919-654-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4551 New Bern Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101552",
            "country_code": "US",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDER",
        "first_name": "CASSANDRA",
        "middle_name": "KENDRICK",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "32",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NC",
            "license": "655",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.