Cassie Marie Matlage, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.026603 Issued in IL

Practice address

3215 Caroline Dr
Joliet, IL 60435-1161

Phone

(708) 712-8235

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cassie Marie Jurgensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1962110486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CAROLINE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351161",
            "telephone_number": "708-712-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 CAROLINE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351161",
            "telephone_number": "708-712-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213829",
            "country_code": "US",
            "telephone_number": "630-856-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLAGE",
        "first_name": "CASSIE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026603",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041407750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "JURGENSEN",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Maternowski
• Peggy L. Mateski-Price, APN-CNP
• Liji Mathew, MD
• Moly Mathew, M.D.
• Jennifer Marie Matl
• Matrix Mental Health LTD
• Lori Mattix, LCSW
• Maraline Patricia Mattke, M.S.W., L.C.S.W.
• Marcia Matushek, CRNA
• Kyle Matuszewski, CRNA

• Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.