Active NPI
Constance Susan Cass, FNP
- Family Nurse Practitioner
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP108730
- Practice address
- 100 Hillcrest Medical Blvd
Waco, TX 76712-8897 - Phone
- (254) 724-2111
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 114196 | MO | |
| Family Nurse Practitioner | 363LF0000X | AP108730 | TX | Primary |
Addresses
Primary practice location
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (009) 940-0371
Other practice location 1
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccass63561@direct.sw.or |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000
Hospital & facility affiliations
- Baylor Scott & White Medical Center Hillcrest
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP108730 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital Inc. | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital, Inc. | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
Interoperability endpoints
- ccass417434@directhoustonmethodist.org
- ccass63561@direct.sw.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
-
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
- Clinic/Center
- Marshall, MO
- NPI 1093731986
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
-
- Emergency Care Clinic/Center
- Marshall, MO
- NPI 1558388173
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1992959217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "009-940-0371",
"fax_number": "254-215-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HILLCREST MEDICAL BLVD",
"city": "WACO",
"state": "TX",
"postal_code": "767128897",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "1600 E Broadway",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652015844",
"country_code": "US",
"telephone_number": "573-815-8000",
"fax_number": "573-815-8556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASS",
"first_name": "CONSTANCE",
"middle_name": "SUSAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "114196",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP108730",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccass63561@direct.sw.or",
"affiliation": "N",
"address_1": "100 Hillcrest Medical Blvd",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128897",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.