Active NPI
Nicole Marie Cassler, MD
- Dermatology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 60869820
- Practice address
- 1901 S Union Ave Ste B3003
Tacoma, WA 98405-1803 - Phone
- (253) 572-2842
- NPI assigned
- Jun 13, 2007
- Last updated
- May 4, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25916 | NE | |
| Dermatology Physician | 207N00000X | 60869820 | WA | Primary |
| Aerospace Medicine Physician | 2083A0100X | 0101244008 | VA | |
| General Practice Physician | 208D00000X | 21809 | MS | |
| General Practice Physician | 208D00000X | 25916 | NE |
Addresses
Primary practice location
1901 S Union Ave Ste B3003
Tacoma, WA 98405-1803
Mailing address
11447 Griffin PL NW
Gig Harbor, WA 98332-9534
Phone (607) 725-3663
Other practice location 1
601 S Carr Rd
Pacific Medical Center
Renton, WA 98055
Phone (425) 227-3700
Other practice location 2
Oregon Medical Group Dermatology
1007 Harlow Rd.
Springfield, OR 97477-7124
Phone (541) 242-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncassler1042646@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Suite B3003
Tacoma, WA 98405-1803
1910 S Meridian
Puyallup, WA 98371-7531
Phone (253) 572-2842
7502 Lakewood Dr W
Suite a
Lakewood, WA 98499-8410
Phone (253) 572-2842
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 1043 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25916 | NE | MD | Dermatology Physician |
| 60869820 | WA | MD | Dermatology Physician |
| 0101244008 | VA | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Pace Dermatology Associates, PLLC | Dermatology | Current | Accepting new patients |
Locations
7502 Lakewood Dr W
Ste A
Lakewood, WA 98499
Phone (253) 572-2842
1910 S Meridian
Puyallup, WA 98371
Phone (253) 572-2842
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
1802 S Union Ave
Tacoma, WA 98405
Phone (253) 756-8668
1901 S Union Ave
Ste B3003
Tacoma, WA 98405
Phone (253) 572-2842
Interoperability endpoints
- ncassler@directaddress.net
Organizations & group practices 3
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.
-
- Dermatology Physician
- Tacoma, WA
- NPI 1922398585
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1750585741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11447 GRIFFIN PL NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329534",
"telephone_number": "607-725-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE STE B3003",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051803",
"telephone_number": "253-572-2842"
}
],
"practiceLocations": [
{
"address_1": "601 S Carr Rd",
"address_2": "Pacific Medical Center",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "98055",
"country_code": "US",
"telephone_number": "425-227-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Oregon Medical Group Dermatology",
"address_2": "1007 Harlow Rd.",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974777124",
"country_code": "US",
"telephone_number": "541-242-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSLER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "25916",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "60869820",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0101244008",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "21809",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "25916",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncassler1042646@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "601 S Carr Rd",
"address_2": "Pacific Medical Center",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "98055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.