Individual provider Active NPI

Cassandra Elizabeth Carlone, M.D.

  • Family Medicine Physician
  • Minnetonka, MN
National Provider Identifier
1699766055
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PY 43615 Issued in MN
Practice address
5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone
(952) 835-9880
NPI assigned
Nov 3, 2005
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43615 MN
Family Medicine Physician 207Q00000X PY 43615 MN Primary

Addresses

Primary practice location

5435 Feltl Rd
Minnetonka, MN 55343-7983

Mailing address

5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone (952) 835-9880

Other practice location 1

701 Dellwood St S
Cambridge Medical Center
Cambridge, MN 55008-1920
Phone (763) 689-7700

Other identifiers 4

IdentifierTypeStateIssuer
RU0062P001OtherMNUCARE
38G77CAOtherMNBLUE CROSS/BLUE SHIELD
5106737-00OtherMNMHCP
510673700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000743 MN Practitioner - Family PracticePractitioner - Emergency Medicine 8325094360 Reassigns benefits to 8 organizations
I20231218002764 WI Practitioner - Family PracticePractitioner - Emergency Medicine 8325094360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PY 43615MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burnett Medical Center Inc Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Apr 17, 2017 Accepting new patients
Range Regional Health Services CurrentSince Nov 1, 2008 Accepting new patients
Burnett Medical Center Inc Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Healtheast St. John's Hospital CurrentSince Apr 17, 2017 Accepting new patients
Burnett Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Dec 25, 2017 Accepting new patients
Welia Health Current Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Dec 10, 2017 Accepting new patients
Range Regional Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Nov 1, 2008 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Dec 25, 2017 Accepting new patients
Welia Health CurrentSince May 16, 2024 Accepting new patients
Bridge Medical Supply, Inc. Past Accepting new patients
Fairview Clinics Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Ecc Addiction & Toxicology Services LLC Past Accepting new patients
Fairview Health Services Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1699766055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-835-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-835-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Dellwood St S",
            "address_2": "Cambridge Medical Center",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081920",
            "country_code": "US",
            "telephone_number": "763-689-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLONE",
        "first_name": "CASSANDRA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "43615",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "PY 43615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "RU0062P001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "38G77CA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "5106737-00",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510673700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.