Individual provider Active NPI

Cassandra Louise Krill

  • Physician Assistant
  • Glenside, PA
National Provider Identifier
1285230383
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
450 S Easton Rd
Glenside, PA 19038-3215
Phone
(215) 572-2900
NPI assigned
Dec 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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 Primary

Addresses

Primary practice location

450 S Easton Rd
Glenside, PA 19038-3215

Mailing address

4426 Osage Ave Apt 3F
Philadelphia, PA 19104-3981
Phone (224) 388-8121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckrill_01@arcadia.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210310000541 PA Practitioner - Physician Assistant 6901212307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 615-5858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Apr 19, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 2, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 19, 2021 Accepting new patients
Trustees of the University of Pennsylvania PastSince Dec 13, 2020 Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1285230383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 OSAGE AVE APT 3F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043981",
            "telephone_number": "224-388-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383215",
            "telephone_number": "215-572-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRILL",
        "first_name": "CASSANDRA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckrill_01@arcadia.edu",
            "affiliation": "N",
            "address_1": "450 S Easton Rd",
            "city": "Glenside",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190383215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

Verify at the official NPI Registry.