CASSANDRA MARIE QUAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194330167
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN
Provider Addresses for CASSANDRA MARIE QUAM (CRNA)
PO BOX 47159
PLYMOUTH, MN 554470159
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Mailing
14700 28TH AVE N STE 20
PLYMOUTH, MN 554474876
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200930003711 | I | Certified Registered Nurse Anesthetist (Crna) | MN | TBD |
| I20241001001542 | I | Certified Registered Nurse Anesthetist (Crna) | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 49 | 49 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 17 | 17 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 12 | 12 | $0 |
| 00142 | Anesthesia for lens surgery | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55447)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | MN | |
| Family Practice | IA | |
| O P H T H A L M O L O G Y | MN | |
| - | MO | |
| Family Practice | IA | |
| Physical Therapist In Private Practice | MO | |
| - | IA | |
| Qualified Audiologist | IA | |
| Qualified Speech Language Pathologist | IA |
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