CASSIE MAIRS KNIPPLE (OD) – Optometrist, NPI 1710214432

CASSIE MAIRS KNIPPLE (OD) is a healthcare provider. based in Crosby, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3338ATI (OR). The NPI Number for CASSIE MAIRS KNIPPLE (OD) is 1710214432

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CASSIE MAIRS KNIPPLE (OD)
NPI
1710214432
Phone
Not provided
Address
1 3RD AVE NE
Enumeration Date
17 November 2009
Last Update Date
26 July 2013

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2188251976
Graduation Year
2009 (17 years ago)
PAC ID
3870627813
Group Practice PAC ID
0244459824
Professional Enrollment ID
I20100812001029
Address ID
MN564258678BA7636XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for CASSIE MAIRS KNIPPLE (OD)

  • 1, 3rd Avenue Northeast, Crosby, Crow Wing County, Minnesota, 56441, United States

    CROSBY, MN 564411665

    Phone:

    Mailing address matches the actual address.

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: 2010-08-12

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
I20100812001029IOptometryMNTBD

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
92014Established patient complete exam of visual system189189$0
92134Imaging of retina7470$0
99214Established patient office or other outpatient visit, 30-39 minutes5236$0
92133Imaging of optic nerve4341$0
99213Established patient office or other outpatient visit, 20-29 minutes4236$0
View full utilization report →

Insurance plans in this area (ZIP 56441)

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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: 0244459824View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
-MN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YTX
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Is CASSIE MAIRS KNIPPLE (OD) listed with a National Provider Identifier?
Yes — CASSIE MAIRS KNIPPLE (OD) has NPI 1710214432 on file in the registry.
Is CASSIE MAIRS KNIPPLE (OD) still an active registrant?
CASSIE MAIRS KNIPPLE (OD) carries an active NPI according to the public dataset.
How would a patient describe CASSIE MAIRS KNIPPLE (OD)'s focus?
For CASSIE MAIRS KNIPPLE (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CASSIE MAIRS KNIPPLE (OD)?
Travel planning: use Crosby, Minnesota as the reference point for CASSIE MAIRS KNIPPLE (OD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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