CASSANDRA GENTRY P.A.
NPI 1114188232
Physician Assistant in Moore, OK

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
1105 SW 30TH CT, MOORE, OK 73160(405) 378-2727(405) 378-2776 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassandra Gentry P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA GENTRY P.A. (NPI 1114188232) is an individual physician assistant in Moore, Oklahoma, licensed in (1515) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114188232
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASSANDRA GENTRYCredential: P.A.
Location Address1105 SW 30TH CTMoore, OK 73160-2887
Mailing Address1105 Sw 30th CtMoore, OK 73160-2887 · (405) 378-2727 · Fax (405) 378-2776
Fax(405) 378-2776
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 20, 2008
Last NPPES UpdateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
NPI 1114188232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed · 1515
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1515 (OK)
1105 SW 30TH CT, Moore, OK 73160

Secondary Practice Location 1

Location 111601 S Western AveOklahoma City, OK 73170-5823 · Phone (405) 691-5208 · Fax (405) 378-0556

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cassandra Gentry P.a. 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.

PECOS PAC ID244385151
PECOS Enrollment IDI20090828000235
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Social Worker (Clinical)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160

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 Cassandra Gentry's NPI number?

The NPI number for Cassandra Gentry is 1114188232. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Cassandra Gentry located?

Cassandra Gentry practices at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 378-2727.

What is Cassandra Gentry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cassandra Gentry enrolled in Medicare?

Yes. Cassandra Gentry 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.

What insurance does Cassandra Gentry accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Cassandra Gentry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Gentry was last updated on August 4, 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.