KASSANDRA B. CUNNINGHAM PA-C - NPI 1477724672 - Physician Assistant in Lone Tree, CO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Kassandra B. Cunningham Pa-c NPPES

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

KASSANDRA B. CUNNINGHAM PA-C (NPI 1477724672) is an individual medical provider in Lone Tree, Colorado, licensed in Colorado (1962) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1477724672

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKASSANDRA B. CUNNINGHAMCredential: PA-C

Location Address10103 RIDGEGATE PKWY STE 103Lone Tree, CO 80124-5524

Mailing Address4900 S Monaco St, Suite 210Denver, CO 80237-3486 · (303) 645-0090 · Fax (303) 645-0092

Phone(303) 645-0090

Fax(303) 645-0092

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 14, 2008

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1477724672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 1962

10103 RIDGEGATE PKWY STE 103, Lone Tree, CO 80124

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Other Identifiers 2

Other275747YPNQCO · Medicare

Medicaid57575509CO

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

Kassandra B. Cunningham Pa-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 ID1759450109

PECOS Enrollment IDI20080826000729

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.

587 services437 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

338 services281 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services14 patients

Other Providers at the Same Location NPPES 7

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

HEALTHONE HEART CARE LLC

Internal Medicine (Cardiovascular Disease)