Active NPI
Cassandra Marie Gollakner, DNP, FNP-BC
- Family Nurse Practitioner
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14340-33
- Practice address
- 440 Woodward Ave
Iron Mountain, MI 49801-4631 - Phone
- (906) 776-9040
- Fax
- (906) 774-5950
- NPI assigned
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14340-33 | WI | Primary |
| Registered Nurse | 163W00000X | 255675-30 | WI |
Addresses
Primary practice location
440 Woodward Ave
Iron Mountain, MI 49801-4631
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (906) 786-6488
Other practice location 2
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023060758 | Other | AMERICAN NURSES CREDENTIALING CENTER |
Other names 1
- Cassandra Marie Dumke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122002539 | WI | Practitioner - Nurse Practitioner | 7012365471 | Reassigns benefits to 2 organizations |
| I20231213001303 | MI | Practitioner - Nurse Practitioner | 7012365471 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center IncBellin Memorial Hospital Inc
Practice addresses (Care Compare)
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Hospital & facility affiliations
- Marshfield Medical Center
- Aurora Medical Center Bay Area
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255675-30 | WI | MD | Registered Nurse |
| 14340-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- cgollakner332545@direct.thedacare.org
- cgollakner925535@direct.emplifyhealth.org
Organizations & group practices 24
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.
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Marinette, WI
- NPI 1528412673
-
- Rural Health Clinic/Center
- Daggett, MI
- NPI 1043668643
-
- Rural Health Clinic/Center
- Menominee, MI
- NPI 1356799969
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Green Bay, WI
- NPI 1518920883
-
- Home Infusion Therapy Pharmacy
- Green Bay, WI
- NPI 1619078094
-
- Rural Health Clinic/Center
- Kewaunee, WI
- NPI 1699737379
-
- Mobile Radiology Clinic/Center
- Green Bay, WI
- NPI 1740600600
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
Hospital
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
Hospital
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1740961069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WOODWARD AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014631",
"telephone_number": "906-776-9040",
"fax_number": "906-774-5950"
}
],
"practiceLocations": [
{
"address_1": "610 S Lincoln Rd",
"address_purpose": "LOCATION",
"city": "Escanaba",
"state": "MI",
"postal_code": "498291215",
"country_code": "US",
"telephone_number": "906-786-6488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLAKNER",
"first_name": "CASSANDRA",
"middle_name": "MARIE",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "14340-33",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "255675-30",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN NURSES CREDENTIALING CENTER",
"identifier": "2023060758",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "DUMKE",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.