Individual provider Active NPI

Cassandra Ann Horton, FNP-C

  • Family Nurse Practitioner
  • Garden City, KS
National Provider Identifier
1710407119
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77675-102 Issued in KS
Practice address
911 N Main St
Garden City, KS 67846-5561
Phone
(620) 276-8201
Fax
(620) 276-8739
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 53-77675-102 KS Primary

Addresses

Primary practice location

911 N Main St
Garden City, KS 67846-5561

Mailing address

9100 E Mineral Cir
Centennial, CO 80112-3401
Phone (303) 673-7206

Other practice location 1

712 Saint John St
Garden City, KS 67846
Phone (620) 275-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180426002821 KS Practitioner - Nurse Practitioner 2163786153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

911 N Main St
SCHP Plaza Medical
Garden City, KS 67846-5561
Phone (620) 276-8201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77675-102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. CurrentSince Sep 1, 2018 Accepting new patients
St Catherine Hospital CurrentSince Sep 1, 2018 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients
St. Catherine Hospital Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

911 N Main St
Garden City, KS 67846
Phone (316) 276-8201

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Organizations & group practices 5

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 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1710407119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 E MINERAL CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123401",
            "telephone_number": "303-673-7206",
            "fax_number": "303-649-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N MAIN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465561",
            "telephone_number": "620-276-8201",
            "fax_number": "620-276-8739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Saint John St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "67846",
            "country_code": "US",
            "telephone_number": "620-275-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "CASSANDRA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77675-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.