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

Cassandra Prosise

Individual provider Family Nurse Practitioner · NPI 1518561117

Cassandra Prosise is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

9305 W Thomas Rd Ste 380
Phoenix, AZ 85037-3368
Phone: (623) 327-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 250395 (AZ)

Record details

NPI number1518561117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2020
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix