Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSIE LYNN PETTIT FNP-C
NPI 1396314894
Nurse Practitioner - Family in Phoenix, AZ

Active since June 21, 2021PECOS Enrolled
75/100
CMS Quality Rating
16515 S 40TH ST STE 143, PHOENIX, AZ 85048(208) 534-5600 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 23, 2023, Jun 21, 2021 (3 updates tracked since 2021).

About Cassie Lynn Pettit Fnp-c NPPES

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

CASSIE LYNN PETTIT FNP-C (NPI 1396314894) is an individual family provider in Phoenix, Arizona, licensed in Arizona (258802) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396314894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCASSIE LYNN PETTITCredential: FNP-C
Location Address16515 S 40TH ST STE 143Phoenix, AZ 85048-0560
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (888) 663-6331
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1396314894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 258802
16515 S 40TH ST STE 143, Phoenix, AZ 85048

Secondary Practice Location 1

Location 12201 E Camelback Rd Ste 101APhoenix, AZ 85016-3495 · Phone (888) 663-6331

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

Cassie Lynn Pettit Fnp-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 ID4981071628
PECOS Enrollment IDI20221109000718
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
555 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
142 services71 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
105 services99 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services55 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
53 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Family Medicine
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Nurse Practitioner (Family)
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Nurse Practitioner
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Dermatology
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Nurse Practitioner
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Nurse Practitioner (Gerontology)
16515 S 40TH ST STE 143
PHOENIX, AZ 85048
Nurse Practitioner (Family)
16515 S 40TH ST STE 143
PHOENIX, AZ 85048

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 Cassie Pettit's NPI number?

The NPI number for Cassie Pettit is 1396314894. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Cassie Pettit located?

Cassie Pettit practices at 16515 S 40th St Ste 143, Phoenix, AZ 85048. The listed phone number is (208) 534-5600.

What is Cassie Pettit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cassie Pettit enrolled in Medicare?

Yes. Cassie Pettit 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.

When was this NPI record last updated?

The NPPES record for Cassie Pettit was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.