Cassandra D. Otero, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-2006-0042 Issued in NM

Practice address

101 N 6TH St
Belen, NM 87002-3605

Phone

(505) 317-7773

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valencia Health and Wellness, P.CGroup PAC ID 3173956877, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cassandra.otero.1@20587.direct.athenahealth.com

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.

• Valencia Health and Wellness, P.C

  • Family Medicine Physician
  • Belen, NM
  • NPI 1598308801
  Medicare reassignment Care Compare group
• Joseph R Aragon MD

  dba Los Lunas Family Practice LLC

  • Family Medicine Physician
  • Los Lunas, NM
  • NPI 1194827535
  NPD (past)
• Optumcare New Mexico LLC

  dba DaVita Medical Group

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1245419985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023605",
            "telephone_number": "505-317-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023605",
            "telephone_number": "505-317-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "CASSANDRA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA-2006-0042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA-2006-0042",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cloud",
            "affiliation": "N",
            "address_1": "101 N 6th St",
            "city": "Belen",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870023605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rina Olguin
• Kristy R. Ontiveros, MD
• Ashley Ortega
• Jacobo Ortiz
• Deanna Osborn, LCSW
• Jon C Otero, PT, ATC
• Karisa J Otero, RN
• William Otero
• Saqiba Latif Ouimet, BSN-RN
• Nora Owens

• Medical Physician Assistant in Belen, NM
• Providers in Belen, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.