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Dr. Cassandra Pretty Moon Rendon , MD

Pediatrics β€’ Bemidji, MN

Active NPI 1568956183 Individual Practitioner Female Practitioner
Practice location in NPPES

1611 Anne St Nw
Bemidji, MN 566015114

Call 2183335000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1611 Anne St Nw

Bemidji, MN 566015114

Telephone 2183335000
Organization at the Same NPPES Address or Phone
Sanford Health Of Northern Minnesota Facility NPI 1154587780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Madison, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Rendon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Rendon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bemidji and Minnesota

13 active clinicians are listed under Pediatrics with a practice address in Bemidji, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bemidji

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 70180

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220324000606

Enrollment State Jurisdiction

MN

PECOS Control ID

0941623706

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

600 Highland Ave

Madison, WI 537920001

Phone: 6082636400

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1417591975

Doctor of Medicine (M.D.)

Dr. Kris Anderson , MD

Internal Medicine

NPI 1558389296

Doctor of Medicine (M.D.)

Ethan Axtman

Nurse Practitioner

NPI 1407419419
Tiffany Axtman

Nurse Practitioner

NPI 1699397042
NPI 1790419752

Doctor of Medicine (M.D.)

Ronald Bardwell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1356446694

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 03, 2022

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183335000)

πŸ“
Updated Business Mailing Address March 03, 2022

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053286585)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

Pediatrics (license number reported to NPPES: MN 70180)

βœ…
NPI Profile Active June 18, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2018

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

πŸ“
Business Mailing Address (Initial Record) June 18, 2018

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2018

Recorded as CASSANDRA RENDON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 18, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568956183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2018
Last Update: March 03, 2022
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053286585

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.