Individual provider Active NPI

Nicole Marie Cassler, MD

  • Dermatology Physician
  • Tacoma, WA
National Provider Identifier
1750585741
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
60869820 Issued in WA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000699 WA Practitioner - Dermatology 7810147709 Reassigns benefits to 2 organizations

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
Pace Dermatology Associates, PLLCGroup PAC ID 5193995777, 14 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions1043
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25916NEMDDermatology Physician
60869820WAMDDermatology Physician
0101244008VAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics CurrentSince Feb 12, 2019 Accepting new patients
Pacmed Clinics CurrentSince Feb 12, 2019 Accepting new patients
Pace Dermatology Associates, PLLC Dermatology CurrentSince Sep 1, 2020 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.