NPIMap

Individual provider Active NPI

Cassandra Grace Schmiesing

  • Physician Assistant
  • Orange City, IA
National Provider Identifier
1407557515
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15075 Issued in MN
Practice address
101 7TH St SW
Orange City, IA 51041-1996
Phone
(320) 766-1314
NPI assigned
Mar 15, 2023
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 15075 MN Primary

Addresses

Primary practice location

101 7TH St SW
Orange City, IA 51041-1996

Mailing address

101 7TH St SW
Orange City, IA 51041-1996
Phone (320) 766-1314

Other names 1

  • Cassandra Bohnsack Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cschmiesing845219@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030001113 MN Practitioner - Physician Assistant 8729511753 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

425 Elm St N
Sauk Centre, MN 56378-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15075MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Oct 1, 2024 Accepting new patients

Locations

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • Direct secure messaging: cschmiesing845219@direct.centracare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1407557515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411996",
            "telephone_number": "320-766-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411996",
            "telephone_number": "320-766-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIESING",
        "first_name": "CASSANDRA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschmiesing845219@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cschmiesing845219@direct.centracare.com",
            "address_1": "425 Elm St N",
            "city": "Sauk Centre",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563781010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "BOHNSACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.