Individual provider Active NPI

Cassidi Collins

  • Physician Assistant
  • Auburn, IN
National Provider Identifier
1154138683
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004834A Issued in IN
Practice address
923 Cardinal CT
Auburn, IN 46706-2678
Phone
(800) 342-5653
NPI assigned
Dec 17, 2024
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004834A IN Primary

Addresses

Primary practice location

923 Cardinal CT
Auburn, IN 46706-2678

Mailing address

923 Cardinal CT
Auburn, IN 46706-2678
Phone (800) 342-5653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112001835 IN Practitioner - Physician Assistant 0042701617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2621 E Jefferson St
Warsaw, IN 46580-3880

635 Cobblers CT
Waterloo, IN 46793-9491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10004834AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Oct 20, 2025 Accepting new patients
Bowen Health Inc Current Accepting new patients
Dekalb Memorial Hospital, Inc PastSince Dec 1, 2024 Accepting new patients
Dekalb Memorial Hospital, Inc PastSince Dec 1, 2024 Accepting new patients

Locations

923 Cardinal Ct
Auburn, IN 46706
Phone (260) 925-8035

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1154138683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 CARDINAL CT",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062678",
            "telephone_number": "800-342-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 CARDINAL CT",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062678",
            "telephone_number": "800-342-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CASSIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.