Individual provider Active NPI

Cassandra Leann Dunivan, ARNP

  • Family Nurse Practitioner
  • West Burlington, IA
National Provider Identifier
1639826316
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02220824 Issued in IA
Practice address
1321 Gear Ave
West Burlington, IA 52655
Phone
(319) 768-4320
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02220824 IA Primary

Addresses

Primary practice location

1321 Gear Ave
West Burlington, IA 52655

Mailing address

10 Harmony CT
Fort Madison, IA 52627-2216
Phone (641) 217-1277

Other names 1

  • Ms. Cassandra L. Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220607002213 IA Practitioner - Nurse Practitioner 4688052475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1223 S Gear Ave
West Burlington, IA 52655-1685

5409 Ave O
Fort Madison, IA 52627-9601

Hospital & facility affiliations

  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02220824IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center Inc CurrentSince Feb 1, 2024 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
Ste 122
Fort Madison, IA 52627
Phone (319) 376-2400

407 S White St
Ste 21
Mount Pleasant, IA 52641
Phone (319) 385-5374

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1223 S Gear Ave
Ste 202
West Burlington, IA 52655
Phone (319) 754-6541

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

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.

Hospital & facility affiliations 2

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1639826316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARMONY CT",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526272216",
            "telephone_number": "641-217-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GEAR AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "52655",
            "telephone_number": "319-768-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIVAN",
        "first_name": "CASSANDRA",
        "middle_name": "LEANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F02220824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "BROWN",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.