Individual provider Active NPI

Cassidy Marie Furey, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burnsville, MN
National Provider Identifier
1679837926
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C3062 Issued in MN
Practice address
2970 Judicial Rd
Burnsville, MN 55337-7820
Phone
(952) 224-8990
Fax
(952) 224-8991
NPI assigned
Jul 2, 2012
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP3062 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C3062 MN Primary
Registered Nurse 163W00000X R1741300 MN

Addresses

Primary practice location

2970 Judicial Rd
Burnsville, MN 55337-7820

Mailing address

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822
Phone (952) 224-8990

Other names 1

  • Cassidy Marie Peterson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130517000052 MN Practitioner - Nurse Practitioner 3274770953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Mental Health, GBCGroup PAC ID 1355500752, 29 clinicians
Midwest Recovery, IncGroup PAC ID 3476076712, 6 clinicians

Practice addresses (Care Compare)

2970 Judicial Rd
Suite 100
Burnsville, MN 55337-7822
Phone (800) 336-5973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1741300MNMDRegistered Nurse
C3062MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Recovery, Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

2970 Judicial Rd
Ste 100
Burnsville, MN 55337
Phone (952) 715-6453

1980 30th St NW
Faribault, MN 55021
Phone (507) 333-5499

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1679837926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 JUDICIAL RD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377822",
            "telephone_number": "952-224-8990",
            "fax_number": "952-224-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 JUDICIAL RD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377820",
            "telephone_number": "952-224-8990",
            "fax_number": "952-224-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUREY",
        "first_name": "CASSIDY",
        "middle_name": "MARIE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP3062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "C3062",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1741300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "PETERSON",
            "middle_name": "MARIE",
            "credential": "APRN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.