CASSANDRA A BOEHNING (FNP-C) – Family Nurse Practitioner, NPI 1063046811

CASSANDRA A BOEHNING (FNP-C) is a healthcare provider. based in Newark, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. L1-0055770 (DE). The NPI Number for CASSANDRA A BOEHNING (FNP-C) is 1063046811

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA A BOEHNING (FNP-C)
NPI
1063046811
Phone
(302) 368-3257
Address
4745 OGLETOWN STANTON RD STE 105
Enumeration Date
2 March 2020
Last Update Date
29 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164523300
Graduation Year
2019 (7 years ago)
PAC ID
3375973324
Group Practice PAC ID
6305748153
Professional Enrollment ID
I20220107000751
Address ID
MO641163266NO2790XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

Provider Addresses for CASSANDRA A BOEHNING (FNP-C)

  • 4745 OGLETOWN STANTON RD STE 105

    NEWARK, DE 197132070

    Phone: (302) 368-3257

    Fax: (302) 368-3237

    Type: Location

  • 2790 Clay Edwards Dr Ste 530

    North Kansas City, MO 641163266

    Phone: (816) 452-3300

    Fax: (816) 453-0677

    Type: Location

  • 3636 S Geyer Rd Ste 100

    Saint Louis, MO 631271237

    Phone: (888) 731-8994

    Fax: (888) 732-8119

    Type: Location

  • 195 Page Mill Rd Ste 103

    Palo Alto, CA 943062073

    Phone: (888) 731-8994

    Type: Location

  • 2790 CLAY EDWARDS DR STE 530

    NORTH KANSAS CITY, MO 641163266

    Phone: (816) 452-3300

    Fax: (816) 453-0677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($153).

Total Amount

$456

General + Research + Ownership

Payments

23

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220107000751INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305748153View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMO
-MO
-MO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
General SurgeryMO
N E U R O L O G YMO
A N E S T H E S I O L O G YMO
Physician AssistantMO

Reviews

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Frequently asked questions

What NPI should I save for CASSANDRA A BOEHNING (FNP-C)?
Save NPI 1063046811 if you need a stable reference for CASSANDRA A BOEHNING (FNP-C).
Is CASSANDRA A BOEHNING (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CASSANDRA A BOEHNING (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for CASSANDRA A BOEHNING (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for CASSANDRA A BOEHNING (FNP-C)?
We surface Newark, Delaware for CASSANDRA A BOEHNING (FNP-C) based on available NPPES addresses.
How can I contact CASSANDRA A BOEHNING (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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