Active NPI
Cassandra Edson, PA-C
- Physician Assistant
- Maple Grove, MN
National Provider Identifier
1497185052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11447
- Practice address
- 9645 Grove Cir N Ste 100
Maple Grove, MN 55369-2682 - Phone
- (763) 302-4118
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11447 | MN | Primary |
Addresses
Primary practice location
9645 Grove Cir N Ste 100
Maple Grove, MN 55369-2682
Mailing address
9645 Grove Cir N Ste 100
Maple Grove, MN 55369-2682
Phone (763) 302-4118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cedson187026@direct.northmemorial.com | Direct | Minneapolis Clinic of Neurology, Ltd |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.39 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11447 | MN | MD | Physician Assistant |
Interoperability endpoints
- cedson187026@direct.northmemorial.com
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 and National Provider Directory roles.
-
- Neurology Physician
- Golden Valley, MN
- NPI 1992739247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1497185052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 GROVE CIR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553692682",
"telephone_number": "763-302-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9645 GROVE CIR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553692682",
"telephone_number": "763-302-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSON",
"first_name": "CASSANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cedson187026@direct.northmemorial.com",
"affiliation": "Y",
"affiliationName": "Minneapolis Clinic of Neurology, Ltd",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "9645 Grove Cir N Ste 100",
"city": "Maple Grove",
"state": "MN",
"country_code": "US",
"postal_code": "553692682",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.