CASSIDY JACQUELINE PHILLIPS PA-C
NPI 1366272940
Physician Assistant - Medical in Dayton, OH

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment
1 WYOMING ST, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Aug 7, 2024 (2 updates tracked since 2024).

About Cassidy Jacqueline Phillips Pa-c NPPES

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

CASSIDY JACQUELINE PHILLIPS PA-C (NPI 1366272940) is an individual medical provider in Dayton, Ohio and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366272940
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCASSIDY JACQUELINE PHILLIPSCredential: PA-C
Location Address1 WYOMING STDayton, OH 45409-2711
Mailing Address1014 Courtney DrDayton, OH 45431-1115 · (765) 967-2414
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2024
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1366272940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1 WYOMING ST, Dayton, OH 45409

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

Cassidy Jacqueline Phillips Pa-c 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 ID1658806971
PECOS Enrollment IDI20241123000367
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Pharmacist
1 WYOMING ST
DAYTON, OH 45409

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 Phillips's NPI number?

The NPI number for Cassidy Phillips is 1366272940. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Cassidy Phillips located?

Cassidy Phillips practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Cassidy Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cassidy Phillips enrolled in Medicare?

Yes. Cassidy Phillips 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 Cassidy Phillips accept?

Health plans from CareSource list Cassidy Phillips 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 Phillips affiliated with any hospitals?

According to CMS data, Cassidy Phillips is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Cassidy Phillips was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.