CASSIE RENEE MASSICOTTE PA-C
NPI 1609507227
Physician Assistant in Utica, NY

Q: What is Cassie Massicotte's NPI number?

The NPI number for Cassie Massicotte is 1609507227. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Cassie Massicotte's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassie Massicotte was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment

1903 SUNSET AVE, UTICA, NY 13502(315) 624-8150(315) 797-1537 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cassie Renee Massicotte Pa-c NPPES

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

CASSIE RENEE MASSICOTTE PA-C (NPI 1609507227) is an individual physician assistant in Utica, New York, licensed in New York (035114) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Leesburg.

NPPES Registry Identity

NPI1609507227

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCASSIE RENEE MASSICOTTECredential: PA-C

Location Address1903 SUNSET AVEUtica, NY 13502-5649

Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 624-6100 · Fax (315) 801-8391

Phone(315) 624-8150

Fax(315) 797-1537

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 23, 2022

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1609507227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 035114

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1903 SUNSET AVE, Utica, NY 13502

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Secondary Practice Location 1

Location 1504 Fort Evans Rd Ste 204Leesburg, VA 20176-4097 · Phone (135) 445-4100

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 Renee Massicotte 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 ID840772349

PECOS Enrollment IDI20260304002013

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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 10

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

JONATHAN DAVID WIGDERSON DO

Orthopaedic Surgery