SANDRA KASUMOVIC PA-C
NPI 1780009506
Physician Assistant - Medical in Caldwell, ID

Active since March 03, 2014PECOS EnrolledAccepts Medicare Assignment
2716 SYRINGA LN, CALDWELL, ID 83605(208) 477-1223 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2026, Aug 26, 2021 (2 updates tracked since 2021).

About Sandra Kasumovic Pa-c NPPES

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

SANDRA KASUMOVIC PA-C (NPI 1780009506) is an individual medical provider in Caldwell, Idaho, licensed in Idaho (PA1136) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1780009506
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSANDRA KASUMOVICCredential: PA-C
Location Address2716 SYRINGA LNCaldwell, ID 83605-3052
Mailing Address3 Makin LnSuccasunna, NJ 07876-1111 · (208) 850-5111
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 3, 2014
Last NPPES UpdateMarch 15, 20262 updates tracked since enumeration
NPPES CertifiedMarch 15, 2026
NPI 1780009506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA1136
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1136 (ID)
2716 SYRINGA LN, Caldwell, ID 83605

Other Names 1

Other Name (5)Sana Kasumovic Pa-c

Accepted Insurance

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

Sandra Kasumovic 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 ID9931323268
PECOS Enrollment IDI20230324000593
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.

Other Providers at the Same Location NPPES

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

Physician Assistant
2716 SYRINGA LN
CALDWELL, ID 83605

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 Sandra Kasumovic's NPI number?

The NPI number for Sandra Kasumovic is 1780009506. It was assigned to this individual provider in the NPPES registry on March 3, 2014. The provider is also known as Sana Kasumovic Pa-C.

Where is Sandra Kasumovic located?

Sandra Kasumovic practices at 2716 Syringa Ln, Caldwell, ID 83605. The listed phone number is (208) 477-1223.

What is Sandra Kasumovic's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sandra Kasumovic enrolled in Medicare?

Yes. Sandra Kasumovic 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.

What insurance does Sandra Kasumovic accept?

Health plans from Providence Health Plan list Sandra Kasumovic 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 Sandra Kasumovic was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.