Kassandra Elizabeth Anderson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9047 Issued in MN

Practice address

240 Willow St
Tyler, MN 56178-1201

Phone

(507) 247-5521

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Avera TylerGroup PAC ID 9638088537, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Tyler Hospital Hospital, Tyler, MN, CCN 241348
• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
• Avera Granite Falls Hospital, Granite Falls, MN, CCN 241343
• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
• Murray County Memorial Hospital Hospital, Slayton, MN, CCN 241319

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Avera Tyler

  dba Avera Tyler Hospital

  • Critical Access Hospital
  • Tyler, MN
  • NPI 1801840517
  Medicare reassignment Care Compare group NPD
• Avera Granite Falls

  dba Avera Medical Group Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644
  Medicare reassignment NPD
• Avera Tyler

  dba Avera Medical Group Ivanhoe

  • Rural Health Clinic/Center
  • Ivanhoe, MN
  • NPI 1063949089

  Family

  NPD
• Avera Tyler

  dba Avera Medical Group Tyler

  • Rural Health Clinic/Center
  • Tyler, MN
  • NPI 1649223439
  NPD
• Granite Falls Municipal Hospital and Manor

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1780654962
  NPD (past)
• Tyler Healthcare Center Dba Tyler Healthcare Pharmacy

  • General Acute Care Hospital
  • Tyler, MN
  • NPI 1184832891
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Granite Falls

  dba Avera Granite Falls Health Center

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610
  Care Compare affiliation
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation
• Avera Tyler

  dba Avera Tyler Hospital

  • Critical Access Hospital
  • Tyler, MN
  • NPI 1801840517
  Care Compare affiliation
• County of Murray

  dba Murray County Memorial Hospital

  • Critical Access Hospital
  • Slayton, MN
  • NPI 1053497214
  Care Compare affiliation
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Care Compare affiliation

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1619626652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MAYE ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561789490",
            "telephone_number": "605-838-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOW ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781201",
            "telephone_number": "507-247-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KASSANDRA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Family Chiropractic LLC
• Avera Marshall (Avera Medical Group Dental Care)
• Avera Tyler
• Avera Tyler (Avera Medical Group Tyler)
• Avera Tyler (Avera Tyler Hospital)
• Avera Tyler (Avera Sunrise Manor)

• Family Nurse Practitioner in Tyler, MN
• Providers in Tyler, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.

Verify at the official NPI Registry.