Cassandra Lee Crumley, PA
Individual provider Active NPI Medical Physician Assistant · Kailua, HI
NPI 1558099838 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1558099838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- AMD-1216 (HI)
- Practice address
- 1015 Aoloa PL Apt 228
Kailua, HI 96734-5207 - Phone
- (720) 431-2157
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waianae District Comprehensive Health and Hospital Board Incorporated
Practice addresses (Care Compare)
86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230519001743 | HI | Practitioner - Physician Assistant | 4183080922 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waianae District Comprehensive Health and Hospital Board, Inc | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Past | Accepting new patients |
Locations
599 Farrington Hwy
Ste 100
Kapolei, HI 96707
Phone (808) 674-2930
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
Interoperability endpoints
- cassandra.crumley.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AMD-1216 | HI | Yes |
Addresses
Primary practice location
1015 Aoloa PL Apt 228
Kailua, HI 96734-5207
Mailing address
1015 Aoloa PL Apt 228
Kailua, HI 96734-5207
Phone (720) 431-2157
Other providers in Kailua, HI
- Thomas Crew
- Critical Care Hawaii LLC
- Catharine M. Critz
- Bethany C Crowley
- Crown Care LLC
- Chad Michael Townsend Cryer
- Ramses Cuadros
- Kasse-Ann Akemi Cullen
- Paul Culver
- Thomas Alan Cummings
All providers in Kailua, HI · Medical Physician Assistant in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.