CASSIDY A MINDEMAN PA
NPI 1033919352
Physician Assistant in Grand Forks, ND

Q: What is Cassidy Mindeman's NPI number?

The NPI number for Cassidy Mindeman is 1033919352. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Q: What is Cassidy Mindeman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Mindeman was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2025PECOS EnrolledAccepts Medicare Assignment

1200 S COLUMBIA RD, GRAND FORKS, ND 58201(218) 791-0992 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, Mar 17, 2025 (2 updates tracked since 2025).

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About Cassidy A Mindeman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY A MINDEMAN PA (NPI 1033919352) is an individual physician assistant in Grand Forks, North Dakota, licensed in North Dakota (PAC1178) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other.

NPPES Registry Identity

NPI1033919352

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCASSIDY A MINDEMANCredential: PA

Location Address1200 S COLUMBIA RDGrand Forks, ND 58201-4036

Mailing AddressAltru Health Claims Payment, Po Box 860939Minneapolis, MN 55486 · (701) 780-1891 · Fax (218) 791-0992

Phone(218) 791-0992

Sole ProprietorNo

Medical School CMSOther

Enumeration DateMarch 17, 2025

Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1033919352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC1178

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1200 S COLUMBIA RD, Grand Forks, ND 58201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassidy A Mindeman Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345739264

PECOS Enrollment IDI20251030003129, I20260309003293

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241344

Location715 Delmore DriveRoseau, MN 56751 · Roseau County

Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351319

LocationBox 380Cavalier, ND 58220 · Pembina County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND CHERIAN

Internal Medicine