NPIMap

Individual provider Active NPI

Cassandra A. Amiot, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Saint Cloud, MN
National Provider Identifier
1881863124
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10364 Issued in MN
Practice address
1245 15TH St N
Saint Cloud, MN 56303-1802
Phone
(320) 203-2317
Fax
(320) 203-2414
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10364 MN Primary

Addresses

Primary practice location

1245 15TH St N
Saint Cloud, MN 56303-1802

Mailing address

1245 15TH St N
Saint Cloud, MN 56303-1802
Phone (320) 203-2317

Other identifiers 1

IdentifierTypeStateIssuer
10364OtherMNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000101 MN Practitioner - Physician Assistant 2264517812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Inc 1,627 clinicians

Practice addresses (Care Compare)

2621 Greenhaven Rd
Anoka, MN 55303-1776
Phone (952) 853-8800

530 3Rd St NW
Elk River, MN 55330-1445
Phone (763) 712-6000

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 20, 2020 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 20, 2020 Accepting new patients
Group Health, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

1245 15th St N
Saint Cloud, MN 56303
Phone (320) 253-5200

2251 Connecticut Ave S
Sartell, MN 56377
Phone (320) 253-5220

430 Great Oak Dr
Waite Park, MN 56387
Phone (320) 203-2400

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1881863124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031802",
            "telephone_number": "320-203-2317",
            "fax_number": "320-203-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031802",
            "telephone_number": "320-203-2317",
            "fax_number": "320-203-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIOT",
        "first_name": "CASSANDRA",
        "middle_name": "A.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "10364",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.