CASSIDY N KIMBALL AA
NPI 1124692702
Anesthesiologist Assistant in Kansas City, MO
About Cassidy N Kimball Aa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIDY N KIMBALL AA (NPI 1124692702) is an individual anesthesiologist assistant in Kansas City, Missouri, licensed in Missouri (2021022736) and active in the NPI registry since May 2021. She is affiliated with St Lukes Hospital Of Kansas City and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Cassidy N Kimball Aa 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 Cassidy Kimball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64131
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 clinicians in this Medicare group
Liberty, MO 64068
- Reassigned Medicare billing, Missouri enrollment
- 73 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
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 Cassidy Kimball's NPI number?
The NPI number for Cassidy Kimball is 1124692702. It was assigned to this individual provider in the NPPES registry on May 18, 2021. The provider is also known as Cassidy N Lee Aa.
Where is Cassidy Kimball located?
Cassidy Kimball practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-3679.
What is Cassidy Kimball's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Cassidy Kimball enrolled in Medicare?
Yes. Cassidy Kimball 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 Cassidy Kimball's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cassidy Kimball reassigns Medicare benefits to 2 organizations: Saint Luke's Physician Group Inc (Kansas City, MO) and Professional Anesthetic Care Inc (Liberty, MO). 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 Cassidy Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cassidy Kimball accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Cassidy Kimball 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.
Is Cassidy Kimball affiliated with any hospitals?
According to CMS data, Cassidy Kimball is affiliated with St Lukes Hospital Of Kansas City.
When was this NPI record last updated?
The NPPES record for Cassidy Kimball was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Cassidy N Kimball, AA · NPI 1124692702
Anesthesiologist Assistant physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since May 18, 2021.
## Identity
- **NPI:** 1124692702 (Entity type: Individual)
- **Enumerated:** May 18, 2021
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 2021022736 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 WORNALL RD, Kansas City, MO 64111-3220
- **Phone:** (816) 932-3679 · **Fax:** (816) 932-3368
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Luke's Physician Group Inc (NPI 1093263717, Kansas City, MO); Professional Anesthetic Care Inc (NPI 1922053461, Liberty, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124692702) · Data from the CMS NPPES public registry.