Individual provider Active NPI

Cassie L Krause, APRN

  • Primary Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1487915559
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
111353 Issued in NE
Practice address
11810 Nicholas St
Suite 101
Omaha, NE 68154-4453
Phone
(402) 307-5510
Fax
(883) 968-2477
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111353 NE
Primary Care Nurse Practitioner 363LP2300X 111353 NE Primary

Addresses

Primary practice location

11810 Nicholas St
Suite 101
Omaha, NE 68154-4453

Mailing address

11810 Nicholas St
Suite 101
Omaha, NE 68154-4453
Phone (402) 307-5510

Other practice location 1

3125 N 120th St
Omaha, NE 68164-2527
Phone (402) 281-0880

Other names 1

  • Cassandra L Krause Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20120813000817 NE Practitioner - Nurse Practitioner 7315193935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3125 N 120TH St
Omaha, NE 68164-2527
Phone (402) 281-0880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111353NEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Infusion of Nebraska LLC CurrentSince Sep 1, 2025 Accepting new patients
Eon Care Clinicians PC Nurse Practitioner CurrentSince Sep 1, 2026 Accepting new patients
Pure Healthcare of Nebraska LLC CurrentSince Jun 6, 2023 Accepting new patients
Bessmer PC CurrentSince Aug 28, 2021 Accepting new patients
Transformative Healthcare CurrentSince Aug 11, 2019 Accepting new patients
Bott PC PastSince Aug 28, 2021 Accepting new patients

Locations

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

3125 N 120th St
Omaha, NE 68164
Phone (402) 281-0880

11810 Nicholas St
Omaha, NE 68154
Phone (402) 307-5510

11810 Nicholas St
Ste 101
Omaha, NE 68154
Phone (402) 307-5510

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

Organizations & group practices 6

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1487915559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-307-5510",
            "fax_number": "883-968-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-307-5510",
            "fax_number": "883-968-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 N 120th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681642527",
            "country_code": "US",
            "telephone_number": "402-281-0880",
            "fax_number": "402-939-0427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "CASSIE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111353",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "KRAUSE",
            "middle_name": "L",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.