CASSANDRA JEAN BOMMERSBACH
NPI 1821831629
Nurse Practitioner - Women's Health in Bemidji, MN

Q: What is Cassandra Bommersbach's NPI number?

The NPI number for Cassandra Bommersbach is 1821831629. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Q: What is Cassandra Bommersbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since June 18, 2024PECOS EnrolledAccepts Medicare Assignment

1233 34TH ST NW, BEMIDJI, MN 56601(612) 807-8626 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Jun 18, 2024 (2 updates tracked since 2024).

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About Cassandra Jean Bommersbach NPPES

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

CASSANDRA JEAN BOMMERSBACH (NPI 1821831629) is an individual women's health provider in Bemidji, Minnesota, licensed in Minnesota (11693) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821831629

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameCASSANDRA JEAN BOMMERSBACH

Location Address1233 34TH ST NWBemidji, MN 56601-5112

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(612) 807-8626

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 18, 2024

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1821831629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MN · 11693

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11693 (MN)

1233 34TH ST NW, Bemidji, MN 56601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

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

Cassandra Jean Bommersbach 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 ID3173061611

PECOS Enrollment IDI20240815002610

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

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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.

DEBORAH STEINBAR PA-C

Physician Assistant (Medical)