Active NPI
Cassie Jillian Firestone
- Physician Assistant
- Frederick, MD
National Provider Identifier
1104616853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0010547
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4506 - Phone
- (240) 566-3300
- NPI assigned
- May 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0010547 | MD | Primary |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4506
Mailing address
461 Peleton St
Hagerstown, MD 21740-2299
Phone (443) 253-5045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1104616853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 PELETON ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217402299",
"telephone_number": "443-253-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "240-566-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRESTONE",
"first_name": "CASSIE",
"middle_name": "JILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0010547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.