Cassandra Lee Clindaniel, NP is a
Nurse Practitioner - Pediatrics, Critical Care based in Kenyon, Minnesota. Cassandra Lee Clindaniel is licensed to practice in Minnesota (license number 202314802) and her current practice location is
48469 County 13 Blvd, Kenyon, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(260) 557-6373.
NPI number for Cassandra Lee Clindaniel is 1134904048 and her current mailing address is 48469 County 13 Blvd, Kenyon, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134904048.
Provider's Profile
Full Name | Cassandra Lee Clindaniel |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics, Critical Care |
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Location | 48469 County 13 Blvd, Kenyon, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134904048
- Provider Enumeration Date: 08/29/2023
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Cassandra Lee Clindaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134904048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 202314802 (Minnesota) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | 71015066A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cassandra Lee Clindaniel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cassandra Lee Clindaniel, NP 48469 County 13 Blvd, Kenyon, MN 55946-3945 Ph: (260) 557-6373 | Cassandra Lee Clindaniel, NP 48469 County 13 Blvd, Kenyon, MN 55946-3945 Ph: (260) 557-6373 |
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