Individual provider Active NPI

Cassie Jo Bronson, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1649418930
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
196039 Issued in MT
Practice address
2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone
(406) 523-5650
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N-34642 ID
Registered Nurse 163W00000X 723269 CA
Registered Nurse 163W00000X 146137 MT
Women's Health Nurse Practitioner 363LW0102X 196039 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Mailing address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone (406) 523-5650

Other names 1

  • Cassie Klapstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20220909000903 MT Practitioner - Nurse Practitioner 5092190181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Origin Health LLCGroup PAC ID 8325465487, 8 clinicians

Practice addresses (Care Compare)

2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7479
Phone (406) 523-5650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723269CAMDRegistered Nurse
N-34642IDMDRegistered Nurse
146137MTMDRegistered Nurse
196039MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Health LLC CurrentSince Jun 30, 2022 Accepting new patients

Locations

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

2831 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cassie.bronson.1@21046.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1649418930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "CASSIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DNP,  WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-34642",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "723269",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "146137",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "196039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "KLAPSTEIN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.