Individual provider Active NPI

Cassandra S. Destefano, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1326455791
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056943 Issued in PA
Practice address
2310 Patton Rd
Harrisburg, PA 17112-9154
Phone
(717) 724-6500
Fax
(717) 724-6510
NPI assigned
Jul 17, 2014
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056943 PA Primary
Medical Physician Assistant 363AM0700X MA056943 PA

Addresses

Primary practice location

2310 Patton Rd
Harrisburg, PA 17112-9154

Mailing address

2310 Patton Rd
Harrisburg, PA 17112-9154
Phone (717) 724-6500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cdestefano121812@direct.geisinger.edu Direct
Direct Messaging Address cdestefano210332@phsdirect.pinnaclehealth.org

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
I20141009000299 PA Practitioner - Physician Assistant 1557581840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
PSHR Physical Therapy, LLCGroup PAC ID 8628396546, 36 clinicians

Practice addresses (Care Compare)

2310 Patton Rd
Harrisburg, PA 17112-9154
Phone (717) 724-6500

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

308 Hockersville Rd
Hershey, PA 17033-2080
Phone (717) 298-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056943PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 15, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 15, 2021 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

2310 Patton Rd
Lower Paxton, PA 17112
Phone (717) 724-6500

Interoperability endpoints

  • Direct secure messaging: cdestefano121812@direct.geisinger.edu
  • Direct secure messaging: cdestefano210332@phsdirect.pinnaclehealth.org
  • Direct secure messaging: cdestefano285592@upmc.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1326455791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PATTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129154",
            "telephone_number": "717-724-6500",
            "fax_number": "717-724-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PATTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129154",
            "telephone_number": "717-724-6500",
            "fax_number": "717-724-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "CASSANDRA",
        "middle_name": "S.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056943",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdestefano121812@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "51 Business Campus Way",
            "city": "Duncannon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170209596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdestefano210332@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "805 Sir Thomas Ct Fl 2",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.