Individual provider Active NPI

Cassie Lynn Pettit, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1396314894
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
258802 Issued in AZ
Practice address
16515 S 40TH St Ste 143
Phoenix, AZ 85048-0560
Phone
(208) 534-5600
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 258802 AZ Primary

Addresses

Primary practice location

16515 S 40TH St Ste 143
Phoenix, AZ 85048-0560

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

2201 E Camelback Rd Ste 101A
Phoenix, AZ 85016-3495
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221109000718 AZ Practitioner - Nurse Practitioner 4981071628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Last Minute Health Check PLLCGroup PAC ID 0749701084, 2 clinicians

Practice addresses (Care Compare)

2451 E Baseline Rd
Suite 100
Gilbert, AZ 85234-2467
Phone (480) 916-4757

6940 E Minton St
Mesa, AZ 85207-1099
Phone (208) 534-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
258802AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Integrative Medical Center Inc CurrentSince Feb 9, 2025 Accepting new patients
Novellus Health LLC CurrentSince Aug 1, 2022 Accepting new patients
Last Minute Health Check PLLC CurrentSince Dec 1, 2024 Accepting new patients
Curative Specialty Care LLC Family PastSince Sep 1, 2024 Accepting new patients

Locations

2451 E Baseline Rd
Ste 100
Gilbert, AZ 85234
Phone (480) 304-5152

5115 N Dysart Rd
Ste 202
Litchfield Pk, AZ 85340
Phone (602) 319-9756

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

Interoperability endpoints

  • Direct secure messaging: cassie.pettit.2@28492.direct.athenahealth.com
  • Direct secure messaging: cassie.pettit.1@28492.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1396314894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "telephone_number": "208-534-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 E Camelback Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163495",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "258802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.