NPIMap

Individual provider Active NPI

Abbe Marissa Cassity, D.O.

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1629177738
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02973 Issued in KY
Practice address
1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088
Phone
(606) 836-3196
Fax
(606) 836-2564
NPI assigned
Sep 22, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02973 KY Primary

Addresses

Primary practice location

1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088

Mailing address

1101 Saint Christopher Dr Ste 250
Ashland, KY 41101-7088
Phone (606) 836-3193

Other practice location 1

1816 Carter Ave
Ashland, KY 41101-7643
Phone (606) 920-9595

Other identifiers 2

IdentifierTypeStateIssuer
2697327MedicaidOH
7100004750MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070210000009 KY Practitioner - Family Practice 8426050089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Center, PLLCGroup PAC ID 1759352842, 6 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1180 Saint Christopher Dr
Ashland, KY 41101-7055
Phone 6068363196229

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Center, PLLC Family Medicine CurrentSince Feb 12, 2018 Accepting new patients

Locations

1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
Phone (606) 836-3196

1180 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 408-3143

Interoperability endpoints

  • Direct secure messaging: acassity72431@direct.kdhealth.us

Organizations & group practices 1

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 8

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629177738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR STE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017088",
            "telephone_number": "606-836-3193",
            "fax_number": "606-836-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR STE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017088",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Carter Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017643",
            "country_code": "US",
            "telephone_number": "606-920-9595",
            "fax_number": "606-920-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSITY",
        "first_name": "ABBE",
        "middle_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697327",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.