Active NPI
Cassandra Elizabeth Scott, PA
- Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023602
- Practice address
- 315 S Manning Blvd
Albany, NY 12208-1707 - Phone
- (518) 525-1550
- NPI assigned
- Jun 26, 2019
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023602 | NY | Primary |
| Surgical Physician Assistant | 363AS0400X | 1148994 | NY |
Addresses
Primary practice location
315 S Manning Blvd
Albany, NY 12208-1707
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Other practice location 2
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023602 | NY | MD | Physician Assistant |
| 1148994 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Physician Assistant | Past | Accepting new patients |
Locations
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Interoperability endpoints
- cscott1496148@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC, Physician Assistant
-
dba Holy Cross Health Partners in Rockville
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
dba Holy Cross Health Lab Outreach
- Clinical Medical Laboratory
- Silver Spring, MD
- NPI 1831574284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1275194573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S MANNING BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081707",
"telephone_number": "518-525-1550"
}
],
"practiceLocations": [
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "CASSANDRA",
"middle_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023602",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "1148994",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "315 S Manning Blvd",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122081707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
- Margo Patricia Schweitzer, RN
- Gerald Schynoll, M.D.
- Kristin Sciuto, RN
- Scooter Store - Schenectady, LLC (The SCOOTER Store/Alliance Seating and Mobility)
- Jeanette M Scotland
- Deborah Natasha Scott, PMHNP, MSN, RN
- Emily Mary Scott, LMSW
- Hunter Scott
- Nerissa Alfreda Scott, FNP-BC
- Samae Sekeema Sihoma Scott, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.