Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassandra Jean Bommersbach

Individual provider Women's Health Nurse Practitioner · NPI 1821831629

Cassandra Jean Bommersbach is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2024, 2 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1233 34th St NW
Bemidji, MN 56601-5112
Phone: (612) 807-8626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 11693 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11693 (MN)

Record details

NPI number1821831629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bemidji