CASSANDRA THIELEN (DC) – Chiropractor, NPI 1154965473

CASSANDRA THIELEN (DC) is a healthcare provider. based in Omaha, Nebraska. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2028 (NE). The NPI Number for CASSANDRA THIELEN (DC) is 1154965473

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA THIELEN (DC)
NPI
1154965473
Phone
(402) 408-6561
Address
18010 R PLZ STE 104
Enumeration Date
30 October 2019
Last Update Date
30 October 2019

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
4024086561
Graduation Year
2019 (7 years ago)
PAC ID
8527492826
Group Practice PAC ID
5799730370
Professional Enrollment ID
I20191219000818
Address ID
NE681351923OM18010PLZX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

570 CHIROPRACTIC in NE

Provider Addresses for CASSANDRA THIELEN (DC)

  • 18010 R PLZ STE 104

    OMAHA, NE 681351923

    Phone: (402) 408-6561

    Type: Location

  • 19506 U ST

    OMAHA, NE 681354211

    Phone: (402) 981-4792

    Type: Mailing

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: 2019-12-19

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
I20191219000818IChiropracticNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68135)

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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: 5799730370View full group profile
NameSpecialtyState
C H I R O P R A C T I CNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Can I cross-check CASSANDRA THIELEN (DC) using NPI 1154965473?
NPI 1154965473 belongs to CASSANDRA THIELEN (DC); compare other details if you need extra assurance.
Is CASSANDRA THIELEN (DC) shown as active in public data?
Registry records indicate CASSANDRA THIELEN (DC) maintains an active NPI.
What kind of doctor is CASSANDRA THIELEN (DC)?
CASSANDRA THIELEN (DC) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Nebraska is CASSANDRA THIELEN (DC) registered?
Use Omaha, Nebraska as the headline location for CASSANDRA THIELEN (DC) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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