KASSANDRA NICOLE HALL PA-C
NPI 1902417389
Physician Assistant in Southgate, KY

Active since August 11, 2020PECOS Enrolled
525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 41071(859) 781-1310 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2023, Jun 29, 2021, Aug 11, 2020 (3 updates tracked since 2020).

About Kassandra Nicole Hall Pa-c NPPES

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

KASSANDRA NICOLE HALL PA-C (NPI 1902417389) is an individual physician assistant in Southgate, Kentucky, licensed in Kentucky (PA2655) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902417389
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKASSANDRA NICOLE HALLCredential: PA-C
Location Address525 ALEXANDRIA PIKE STE 320Southgate, KY 41071-3243
Mailing Address525 Alexandria Pike Ste 320Southgate, KY 41071-3243 · (859) 781-1310
Sole ProprietorYes
Enumeration DateAugust 11, 2020
Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1902417389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA2655
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.

525 ALEXANDRIA PIKE STE 320, Southgate, KY 41071

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 (PECOS)

Kassandra Nicole Hall Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 4

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

Physician Assistant
525 ALEXANDRIA PIKE STE 320
SOUTHGATE, KY 41071
Physician Assistant
525 ALEXANDRIA PIKE STE 320
SOUTHGATE, KY 41071
Pediatrics
525 ALEXANDRIA PIKE STE 320
SOUTHGATE, KY 41071
Pediatrics
525 ALEXANDRIA PIKE STE 320
SOUTHGATE, KY 41071

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 Kassandra Hall's NPI number?

The NPI number for Kassandra Hall is 1902417389. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Kassandra Hall located?

Kassandra Hall practices at 525 Alexandria Pike Ste 320, Southgate, KY 41071. The listed phone number is (859) 781-1310.

What is Kassandra Hall's specialty?

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

Is Kassandra Hall enrolled in Medicare?

Yes. Kassandra Hall is registered in the Medicare PECOS enrollment system.

What insurance does Kassandra Hall accept?

Health plans from CareSource and MedMutual list Kassandra Hall 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 Kassandra Hall was last updated on February 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.