KASSANDRA NICOLE PLACENCIO
NPI 1629952858
Social Worker - Clinical in Grand Forks, ND

Q: What is Kassandra Placencio's NPI number?

The NPI number for Kassandra Placencio is 1629952858. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Kassandra Placencio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 01, 2025PECOS EnrolledAccepts Medicare Assignment

3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 732-2538(701) 732-2501 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kassandra Nicole Placencio NPPES

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

KASSANDRA NICOLE PLACENCIO (NPI 1629952858) is an individual clinical provider in Grand Forks, North Dakota and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629952858

Entity TypeIndividual

Primary Taxonomy1041C0700X

Provider Legal NameKASSANDRA NICOLE PLACENCIO

Location Address3674 S WASHINGTON STGrand Forks, ND 58201

Mailing AddressPo Box 5210Grand Forks, ND 58206-5210 · (701) 205-3000 · Fax (701) 732-2501

Phone(701) 732-2538

Fax(701) 732-2501

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 1, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1629952858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3674 S WASHINGTON ST, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kassandra Nicole Placencio 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 ID8729582762

PECOS Enrollment IDI20250922001419, I20251010003235, I20251030004065, I20260101000170

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.

Medicare Billing Reassignments

Medicare enrollment records show Kassandra Placencio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peterson Medical Clinics, LLC

Same address

Multi-Specialty

3674 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, Alaska, Minnesota, North Dakota and Texas enrollments
70 clinicians in this Medicare group

NPI 1699295774 (701) 205-3000

Cowlitz Indian Tribe

1,217 mi

Rehabilitation, Substance Use Disorder

7105 NE 40TH ST
Vancouver, WA 98661

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Bristol Bay Area Health Corporation
360 clinicians in this Medicare group

NPI 1538412630 (360) 353-9431

Eastern Aleutian Tribes, Inc

1,454 mi

Clinic/Center

172 MAIN STREET
Sand Point, AK 99661

Reassigned Medicare billing, Texas enrollment
50 clinicians in this Medicare group

NPI 1346662608 (907) 383-3515

Norton Sound Health Corporation

2,709 mi

Critical Access

1000 GREG KRUSCHEK AVE
Nome, AK 99762

Reassigned Medicare billing, Alaska enrollment
Also billed through NPI 1225101041 (Alaska)
193 clinicians in this Medicare group

NPI 1154358232 (907) 443-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

$0.00 typical visit price

range $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

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.

SHERBIE DARBOUZE PA-C

Physician Assistant