Individual provider Active NPI

Cassandre Cressall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseburg, OR
National Provider Identifier
1689010597
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201500826NP-PP Issued in OR
Practice address
2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone
(541) 677-7200
Fax
(541) 229-3309
NPI assigned
May 17, 2013
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 803399 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201500826NP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23378 CA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 201500825RN OR

Addresses

Primary practice location

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214

Mailing address

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone (213) 310-0705

Other identifiers 2

IdentifierTypeStateIssuer
201500826NP-PPOtherORNP LIC
500824306MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150220000003 CA Practitioner - Nurse Practitioner 3072838770 Reassigns benefits to 1 organization
I20180329001299 OR Practitioner - Nurse Practitioner 3072838770 Reassigns benefits to 3 organizations
I20240815000808 TX Practitioner - Nurse Practitioner 3072838770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evergreen Family Medicine PCGroup PAC ID 3870485139, 55 clinicians
Centennial Medical Group East LLCGroup PAC ID 9234397878, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

150 S Wall St
Coos Bay, OR 97420-3233
Phone (541) 435-7200

2570 NW Edenbower Blvd
Roseburg, OR 97471-6214

Merit-based Incentive Payment System (MIPS)

Final score
83.4 of 100Reported as group
Quality
67.01
Promoting interoperability
99
Improvement activities
40
Cost
78.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
803399CAMDRegistered Nurse
201500825RNORMDAdult Psychiatric/Mental Health Registered Nurse
201500826NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group East, LLC CurrentSince Jul 1, 2025 Accepting new patients
Hyde Street Community Services, Inc CurrentSince Nov 26, 2014 Accepting new patients
Centennial Medical Group East, LLC CurrentSince Jul 1, 2025 Accepting new patients
Amber Benson Pmhnp PC Psychiatric/Mental Health CurrentSince Oct 17, 2019 Accepting new patients
Cressall Psychiatric LLC Current Accepting new patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians CurrentSince May 1, 2024 Accepting new patients
Centennial Medical Group East, LLC Current Accepting new patients
Options Counseling Services of Oregon CurrentSince Jan 31, 2018 Accepting new patients
Centennial Medical Group Inc. CurrentSince May 15, 2023 Accepting new patients
Addiction Counseling and Education Services Inc. PastSince Mar 30, 2026 Accepting new patients

Locations

815 Hyde St
Ste 100
San Francisco, CA 94109
Phone (415) 440-0004

1245 Fulton Ave
Coos Bay, OR 97420
Phone (541) 888-6433

150 S Wall St
Coos Bay, OR 97420
Phone (541) 435-7200

1255 Pearl St
Ste 102
Eugene, OR 97401

360 E 10th Ave
Ste 450
Eugene, OR 97401

66 Club Rd
Ste 160
Eugene, OR 97401
Phone (541) 345-1722

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2570 NW Edenbower Blvd
Ste 100
Roseburg, OR 97471
Phone (541) 677-7200

2645 Portland Rd NE
Ste 120
Salem, OR 97301

175 W B St
Ste D
Springfield, OR 97477
Phone (541) 744-0828

Interoperability endpoints

  • Direct secure messaging: cassandre.cressall.p101@direct.wvp.nextgenshare.com

Organizations & group practices 11

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1689010597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716214",
            "telephone_number": "213-310-0705",
            "fax_number": "541-229-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716214",
            "telephone_number": "541-677-7200",
            "fax_number": "541-229-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESSALL",
        "first_name": "CASSANDRE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "803399",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201500826NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "23378",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "201500825RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LIC",
            "identifier": "201500826NP-PP",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500824306",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.