MISS IVY L KASALLIS R.N., MSN
NPI 1689956195
Nurse Anesthetist, Certified Registered in Los Angeles, CA
About Miss Ivy L Kasallis R.n., Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS IVY L KASALLIS R.N., MSN (NPI 1689956195) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95000114) and active in the NPI registry since September 2011. She maintains a secondary practice location in Albany and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Miss Ivy L Kasallis R.n., Msn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ivy Kasallis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 76 clinicians in this Medicare group
Beverly Hills, CA 90211
- Reassigned Medicare billing, California enrollment
- 88 clinicians in this Medicare group
Orange, CA 92869
- Reassigned Medicare billing, California enrollment
- 168 clinicians in this Medicare group
Camarillo, CA 93012
- Reassigned Medicare billing, California enrollment
- 112 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 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
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 Ivy Kasallis's NPI number?
The NPI number for Ivy Kasallis is 1689956195. It was assigned to this individual provider in the NPPES registry on September 12, 2011. The provider is also known as Julie Kasallis.
Where is Ivy Kasallis located?
Ivy Kasallis practices at 1401 S Grand Ave, Los Angeles, CA 90015. The listed phone number is (213) 748-2411.
What is Ivy Kasallis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ivy Kasallis enrolled in Medicare?
Yes. Ivy Kasallis 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 Ivy Kasallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Kasallis reassigns Medicare benefits to 4 organizations: Socal Anesthesia Solutions, Inc (Los Angeles, CA), Tip Top Anesthesia Group Inc (Beverly Hills, CA), Orange Coast Anesthesia Inc (Orange, CA) and Apa Medical Group, Inc. (Camarillo, 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 Ivy Kasallis'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 Ivy Kasallis was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Miss Ivy L Kasallis, R.N., MSN · NPI 1689956195
Nurse Anesthetist, Certified Registered physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 12, 2011.
## Identity
- **NPI:** 1689956195 (Entity type: Individual)
- **Enumerated:** September 12, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000114 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1401 S GRAND AVE, Los Angeles, CA 90015-3010
- **Phone:** (213) 748-2411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Socal Anesthesia Solutions, Inc (NPI 1407596901, Los Angeles, CA); Tip Top Anesthesia Group Inc (NPI 1508283698, Beverly Hills, CA); Orange Coast Anesthesia Inc (NPI 1508138256, Orange, CA); Apa Medical Group, Inc. (NPI 1700596111, Camarillo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 12, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1689956195) · Data from the CMS NPPES public registry.