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CASSIDIE SHAY THOMAS FNP
NPI 1396612362
Nurse Practitioner - Family in Culver City, CA

Active since October 22, 2025PECOS Enrolled
4070 LAFAYETTE PL, CULVER CITY, CA 90232(530) 526-0498 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cassidie Shay Thomas Fnp NPPES

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

CASSIDIE SHAY THOMAS FNP (NPI 1396612362) is an individual family provider in Culver City, California, licensed in California (95030754) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2013).

NPPES Registry Identity

NPI1396612362
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCASSIDIE SHAY THOMASCredential: FNP
Location Address4070 LAFAYETTE PLCulver City, CA 90232-2961
Mailing Address4070 Lafayette Pl Apt ACulver City, CA 90232-2966 · (530) 526-0498
Phone(530) 526-0498
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2013
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1396612362 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 CA · 95030754
4070 LAFAYETTE PL, Culver City, CA 90232
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidie Shay Thomas Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244703338
PECOS Enrollment IDI20260619001425
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 Reassignments

2

Medicare enrollment records show Cassidie Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Irvine
28 mi
Federally Qualified Health Center (FQHC)
2441 W LA PALMA AVE
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1598790529 (657) 282-6356
Regents Of The University Of
33 mi
Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1366590762 (714) 456-8068

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90232 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Cassidie Thomas's NPI number?

The NPI number for Cassidie Thomas is 1396612362. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Cassidie Thomas located?

Cassidie Thomas practices at 4070 Lafayette Pl, Culver City, CA 90232. The listed phone number is (530) 526-0498.

What is Cassidie Thomas's specialty?

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

Is Cassidie Thomas enrolled in Medicare?

Yes. Cassidie Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cassidie Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassidie Thomas reassigns Medicare benefits to 2 organizations: University Of California Irvine (Anaheim, CA) and Regents Of The University Of (Orange, CA). 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 Cassidie Thomas'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 Cassidie Thomas was last updated on October 22, 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.