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CASSANDRA WELLS
NPI 1366862377
Student in an Organized Health Care Education/Training Program in El Cajon, CA

Active since April 17, 2014PECOS Enrolled
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685(619) 579-1969 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Nov 9, 2015 (2 updates tracked since 2015).

About Cassandra Wells NPPES

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

CASSANDRA WELLS (NPI 1366862377) is an individual student in an organized health care education/training program in El Cajon, California and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366862377
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASSANDRA WELLS
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address100 Folsom Prison Rd, Represa, Ca 95671Sacramento, CA 95671 · (916) 985-8610
Phone(619) 579-8685
Fax(619) 579-1969
Sole ProprietorNo
Enumeration DateApril 17, 2014
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1366862377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 89963 (CA)
1664 BROADWAY, El Cajon, CA 92021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Wells is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Wells reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
424 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NICOLE ANDREA BRADNI
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
CLAUDINE GUIBERT ROSA IMFT
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JACQUELINE VIDRIO
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
M'LYNN MONET MARTIN
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
SILONETH MELLISSA ARMAS
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
MONE ROGERS
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
NECHOLE CLARK
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JOEL ANCHETA
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685

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 Wells's NPI number?

The NPI number for Cassandra Wells is 1366862377. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Cassandra Wells located?

Cassandra Wells practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Cassandra Wells's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cassandra Wells enrolled in Medicare?

Yes. Cassandra Wells is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Wells reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Cassandra Wells'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 Cassandra Wells was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.