NPIMap

Individual provider Active NPI

Cassondra Ann Opatz, DNP

  • Family Nurse Practitioner
  • Golden Valley, MN
National Provider Identifier
1467021147
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7576 Issued in MN
Practice address
820 Lilac Dr N
Golden Valley, MN 55422-4700
Phone
(763) 205-3600
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7576 MN Primary

Addresses

Primary practice location

820 Lilac Dr N
Golden Valley, MN 55422-4700

Mailing address

210 Walnut Cir
Cold Spring, MN 56320-1078
Phone (320) 293-5941

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
I20220204001251 MN Practitioner - Nurse Practitioner 0941693436 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians

Practice addresses (Care Compare)

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

Hospital & facility affiliations

  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036
  • Centracare Health System - Sauk Centre Hospital, Sauk Centre, MN, CCN 241368
  • Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376
  • St Gabriels Hospital Hospital, Little Falls, MN, CCN 241370
  • Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astera Health CurrentSince Jan 1, 2023 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2023 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Regional Diagnostic Radiology Current Accepting new patients
Astera Health CurrentSince Jan 1, 2023 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2022 Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2022 Accepting new patients
Astera Health Current Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2022 Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2023 Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Interoperability endpoints

  • Direct secure messaging: copatz611046@direct.centracare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1467021147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALNUT CIR",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201078",
            "telephone_number": "320-293-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224700",
            "telephone_number": "763-205-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPATZ",
        "first_name": "CASSONDRA",
        "middle_name": "ANN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.