MRS. KADIAN SASHA-GAY ENNIS NURSE PRACTITIONER
NPI 1083911408
Nurse Practitioner - Family in Philadelphia, PA
About Mrs. Kadian Sasha-gay Ennis Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KADIAN SASHA-GAY ENNIS NURSE PRACTITIONER (NPI 1083911408) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021495) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Albans, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kadian Sasha-gay Ennis Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kadian Ennis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19143
- Reassigned Medicare billing, Pennsylvania enrollment
- 232 clinicians in this Medicare group
Bridgeton, NJ 08302
- Reassigned Medicare billing, New Jersey enrollment
- 281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19146
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kadian Ennis's NPI number?
The NPI number for Kadian Ennis is 1083911408. It was assigned to this individual provider in the NPPES registry on February 21, 2011.
Where is Kadian Ennis located?
Kadian Ennis practices at 1401 S 31st St, Philadelphia, PA 19146. The listed phone number is (215) 925-2400.
What is Kadian Ennis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kadian Ennis enrolled in Medicare?
Yes. Kadian Ennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kadian Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kadian Ennis reassigns Medicare benefits to 2 organizations: Greater Philadelphia Health Action Inc. (Philadelphia, PA) and Community Health Care, Inc. (Bridgeton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kadian Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kadian Ennis was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kadian Sasha-Gay Ennis, NURSE PRACTITIONER · NPI 1083911408
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 21, 2011.
## Identity
- **NPI:** 1083911408 (Entity type: Individual)
- **Enumerated:** February 21, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021495 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 S 31ST ST, Philadelphia, PA 19146-3506
- **Phone:** (215) 925-2400 · **Fax:** (215) 925-9162
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Greater Philadelphia Health Action Inc. (NPI 1952356867, Philadelphia, PA); Community Health Care, Inc. (NPI 1700816816, Bridgeton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083911408) · Data from the CMS NPPES public registry.