Individual provider Active NPI

Cassandra B Haider, NP-C

  • Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1750698585
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R32409 Issued in ND
Practice address
1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone
(701) 751-7244
Fax
(833) 955-3662
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R32409 ND Primary

Addresses

Primary practice location

1140 W Capitol Ave
Bismarck, ND 58501-1306

Mailing address

1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 400-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20101018000692 ND Practitioner - Nurse Practitioner 3173716644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embrace Wellness PLLCGroup PAC ID 7618276684, 2 clinicians

Practice addresses (Care Compare)

1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone (701) 751-7244

Hospital & facility affiliations

  • CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R32409NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Wellness PLLC CurrentSince Jan 1, 2025 Accepting new patients
Garrison Memorial Hospital CurrentSince Aug 14, 2018 Accepting new patients
Garrison Memorial Hospital Current Accepting new patients

Locations

1140 W Capitol Ave
Bismarck, ND 58501
Phone (701) 258-7220

437 3rd Ave SE
Garrison, ND 58540
Phone (701) 463-2245

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25912/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cassandra.haider.1@25912.direct.athenahealth.com

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 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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1750698585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-400-0067",
            "fax_number": "833-955-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-751-7244",
            "fax_number": "833-955-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "CASSANDRA",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R32409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.