Individual provider Active NPI

Cassandra Hart

  • Family Nurse Practitioner
  • Star Lake, NY
National Provider Identifier
1477429116
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358172 Issued in NY
Practice address
1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone
(315) 848-3351
NPI assigned
Oct 10, 2025
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 358172 NY Primary

Addresses

Primary practice location

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143

Mailing address

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone (315) 848-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260212003771 NY Practitioner - Nurse Practitioner 1951881697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians

Practice addresses (Care Compare)

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone (315) 848-3351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
358172NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton-Fine Healthcare Corporation Family CurrentSince Jan 5, 2026 Accepting new patients

Locations

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1477429116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star Lake, NY

Sources for this page

Verify at the official NPI Registry.