Individual provider Active NPI

Cassandra Marie Edlund, AGNP-C, MSN, RN

  • Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1497408314
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75418 Issued in NM
Practice address
15430 W Capitol Dr
Brookfield, WI 53005-2626
Phone
(262) 537-5140
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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 75418 NM Primary
Nurse Practitioner 363L00000X 209.024502 IL

Addresses

Primary practice location

15430 W Capitol Dr
Brookfield, WI 53005-2626

Mailing address

8705 W Donges Bay Rd
Mequon, WI 53097-3707
Phone (815) 793-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20231211000246 NM Practitioner - Nurse Practitioner 0244689792 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6400 Industrial Loop
Greendale, WI 53129-2452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.024502ILMDNurse Practitioner
75418NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 15, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

5900 Forest Hills Dr NE
Albuquerque, NM 87109
Phone (505) 514-2900

1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

Organizations & group practices 4

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1497408314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 W DONGES BAY RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973707",
            "telephone_number": "815-793-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052626",
            "telephone_number": "262-537-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLUND",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "AGNP-C, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "75418",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.