CASSIDY WIKOFF DNP, ACNP-AG, FNP
NPI 1396824264
Nurse Practitioner - Acute Care in Little Rock, AR

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
9500 KANIS RD STE 410, LITTLE ROCK, AR 72205(501) 202-1500 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Cassidy Wikoff Dnp, Acnp-ag, Fnp NPPES

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

CASSIDY WIKOFF DNP, ACNP-AG, FNP (NPI 1396824264) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (A001940) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396824264
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCASSIDY WIKOFFCredential: DNP, ACNP-AG, FNP
Location Address9500 KANIS RD STE 410Little Rock, AR 72205-6377
Mailing Address434 Stoneridge RdAustin, AR 72007-8052 · (501) 744-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 21, 20212 updates tracked since enumeration
NPPES CertifiedAugust 21, 2021
✔ NPI 1396824264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in AR · A001940✔ Licensed in GA · GAA-NP000101
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A001940 (AR)
9500 KANIS RD STE 410, Little Rock, AR 72205

Secondary Practice Location 1

Location 11701 S Shackleford RdLittle Rock, AR 72211-4335 · Phone (501) 680-8025

Other Identifiers 2

OtherP00385212AR · Mcra Rr
Other5A302AR · Mcra

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassidy Wikoff Dnp, Acnp-ag, Fnp 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 ID7911002795
PECOS Enrollment IDI20070424000302
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 Cassidy Wikoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
9500 KANIS RD, SUITE 410
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1215275508 (Arkansas)
  • 17 clinicians in this Medicare group
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group

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 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Dietitian, Registered
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Nurse Practitioner (Primary Care)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Pharmacist (Solid Organ Transplant)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
9500 KANIS RD STE 410
LITTLE ROCK, AR 72205

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 Wikoff's NPI number?

The NPI number for Cassidy Wikoff is 1396824264. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Cassidy Wikoff located?

Cassidy Wikoff practices at 9500 Kanis Rd Ste 410, Little Rock, AR 72205. The listed phone number is (501) 202-1500.

What is Cassidy Wikoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cassidy Wikoff enrolled in Medicare?

Yes. Cassidy Wikoff 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.

Which organizations bill Medicare for Cassidy Wikoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassidy Wikoff reassigns Medicare benefits to 2 organizations: Arkansas Health Group (Little Rock, AR) and Phoebe Gastroenterology Associates (Albany, GA). 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 Cassidy Wikoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassidy Wikoff accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Cassidy Wikoff 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.

When was this NPI record last updated?

The NPPES record for Cassidy Wikoff was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.