Healthcare Provider Details

I. General information

NPI: 1114841285
Provider Name (Legal Business Name): CASS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12022 BLUE VALLEY PKWY
OVERLAND PARK KS
66213-2647
US

IV. Provider business mailing address

12022 BLUE VALLEY PKWY
OVERLAND PARK KS
66213-2647
US

V. Phone/Fax

Practice location:
  • Phone: 913-219-2409
  • Fax:
Mailing address:
  • Phone: 913-219-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE CASS
Title or Position: FAMILY NURSE PRACTITIONER
Credential:
Phone: 913-219-2409