Individual provider Active NPI

Cassandra Ellen Sanna, NP-C

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1972197325
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2021012254 Issued in MO
Practice address
12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone
(314) 806-1770
Fax
(314) 558-9017
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG02210135 MO
Adult Health Nurse Practitioner 363LA2200X 2021012254 MO Primary

Addresses

Primary practice location

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663

Mailing address

PO Box 14369
Saint Louis, MO 63178-4369
Phone (314) 806-1770

Other practice location 1

3009 N Ballas Rd Ste 250C
Saint Louis, MO 63131-2323
Phone (314) 806-1770

Other practice location 2

5301 Veterans Memorial Pkwy Ste 105
Saint Peters, MO 63376-3429
Phone (314) 806-1770

Other practice location 3

112 Piper Hill Dr Ste 3
Saint Peters, MO 63376-1690
Phone (314) 806-1770

Other names 1

  • Cassandra Ellen Husk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210504002813 MO Practitioner - Nurse Practitioner 7618386673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians
Physical Therapy Spine and Sports Medicine LLCGroup PAC ID 3173654936, 123 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG02210135MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Urology of St. Louis, Inc. PastSince Apr 14, 2024 Accepting new patients

Locations

3009 N Ballas Rd
Ste 250C
Saint Louis, MO 63131
Phone (314) 432-5616

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

12855 N 40 Dr
Ste 125
Saint Louis, MO 63141
Phone (314) 806-1770

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

112 Piper Hill Dr
Ste 3
Saint Peters, MO 63376
Phone (314) 806-1770

5301 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (314) 806-1770

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Interoperability endpoints

  • Direct secure messaging: cassandrasanna@slus.allscriptsdirect.net

Organizations & group practices 4

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 8

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1972197325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631784369",
            "telephone_number": "314-806-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418663",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 N Ballas Rd Ste 250C",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312323",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Veterans Memorial Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633763429",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piper Hill Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761690",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNA",
        "first_name": "CASSANDRA",
        "middle_name": "ELLEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "AG02210135",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2021012254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "HUSK",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.