Individual provider Active NPI

Cassandra M. Wolanin, ACNP, BC

  • Acute Care Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1972802148
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
201350049NP Issued in OR
Practice address
3355 Riverbend Dr Ste 300
Springfield, OR 97477
Phone
(541) 868-9303
Fax
(541) 868-9306
NPI assigned
Mar 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 201350049NP OR Primary

Addresses

Primary practice location

3355 Riverbend Dr Ste 300
Springfield, OR 97477

Mailing address

3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 868-9303

Other identifiers 1

IdentifierTypeStateIssuer
50068982MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20131028000295 OR Practitioner - Nurse Practitioner 6901041334 Reassigns benefits to 2 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
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
PeacehealthGroup PAC ID 8527016039, 200 clinicians

Practice addresses (Care Compare)

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-2700

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Dec 29, 2025 Accepting new patients
Peacehealth Medical Group CurrentSince Dec 29, 2025 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

Interoperability endpoints

  • Direct secure messaging: cwolanin58043@direct.peacehealth.org

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 2

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": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1972802148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9303",
            "fax_number": "541-868-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-868-9303",
            "fax_number": "541-868-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLANIN",
        "first_name": "CASSANDRA",
        "middle_name": "M.",
        "credential": "ACNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "201350049NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50068982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.