Individual provider Active NPI

Cassandra Cervantes, PA

  • Medical Physician Assistant
  • Smyrna, TN
National Provider Identifier
1255030367
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5550 Issued in TN
Practice address
1923 Almaville Rd
Smyrna, TN 37167-5748
Phone
(615) 768-8021
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5550 TN Primary
Physician Assistant 363A00000X 5550 TN

Addresses

Primary practice location

1923 Almaville Rd
Smyrna, TN 37167-5748

Mailing address

1923 Almaville Rd
Smyrna, TN 37167-5748
Phone (615) 768-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230711002951 TN Practitioner - Physician Assistant 6204295058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

890 Isabella LN
Smyrna, TN 37167-4215
Phone (615) 768-8021

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5550TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

890 Isabella Ln
Smyrna, TN 37167
Phone (615) 768-8021

1923 Almaville Rd
Smyrna, TN 37167
Phone (615) 768-8024

Interoperability endpoints

  • Direct secure messaging: cassandra.mihalko@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1255030367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 ALMAVILLE RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675748",
            "telephone_number": "615-768-8024",
            "fax_number": "615-768-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 ALMAVILLE RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675748",
            "telephone_number": "615-768-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "CASSANDRA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5550",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.