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

Q: 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.

Q: 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.

Q: 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 2 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)