Individual provider Active NPI

Cassandra Lee Monk, RN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, ND
National Provider Identifier
1477980464
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R36290 Issued in ND
Practice address
520 3Rd St NW
Jamestown, ND 58401-2968
Phone
(701) 253-6300
Fax
(701) 253-6400
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R36290 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R36290 ND Primary

Addresses

Primary practice location

520 3Rd St NW
Jamestown, ND 58401-2968

Mailing address

520 3Rd St NW
Jamestown, ND 58401-2968
Phone (701) 253-6300

Other names 1

  • Cassandra Buchanan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20150415002497 ND Practitioner - Nurse Practitioner 4587982913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Central Human Service CenterGroup PAC ID 2365420262, 23 clinicians

Practice addresses (Care Compare)

520 3Rd St NW
Jamestown, ND 58401-2968
Phone (701) 253-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R36290NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Health Clinic CurrentSince Nov 30, 2021 Accepting new patients
South Central Behavioral Health Clinic CurrentSince Feb 23, 2015 Accepting new patients
Badlands Behavioral Health Clinic CurrentSince Jan 17, 2023 Accepting new patients
South Central Human Service Center PastSince Sep 23, 2024 Accepting new patients
Badlands Behavioral Health Clinic PastSince Jan 17, 2023 Accepting new patients

Locations

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300

316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1477980464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R36290",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R36290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "BUCHANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.