Individual provider Active NPI

Kassandra Nunez, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1639639636
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7963 Issued in AZ
Practice address
926 E McDowell Rd Ste 134
Phoenix, AZ 85006-2521
Phone
(602) 288-0777
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 7963 AZ Primary

Addresses

Primary practice location

926 E McDowell Rd Ste 134
Phoenix, AZ 85006-2521

Mailing address

4001 N Central Ave Apt 242
Phoenix, AZ 85012-2140
Phone (201) 835-8788

Other practice location 1

5850 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 219-6000

Other identifiers 2

IdentifierTypeStateIssuer
1175067OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
7963OtherAZARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS

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
I20211104002931 AZ Practitioner - Physician Assistant 1355730763 Reassigns benefits to 1 organization

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
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082

1507 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1201
Phone (623) 215-0040

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403

18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900

24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700

2720 W Baseline Rd
Suite 140
Tempe, AZ 85283-1065
Phone (602) 777-6000

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373

7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7963AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince Oct 1, 2023 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Oct 1, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

5130 W Baseline Rd
Ste 10
Laveen, AZ 85339

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

17015 N 7th St
Ste 100
Phoenix, AZ 85022
Phone (602) 368-1403

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

725 S Rural Rd
Ste 120
Tempe, AZ 85288
Phone (480) 214-0622

9870 W Lower Buckeye Rd
Tolleson, AZ 85353

Interoperability endpoints

  • Direct secure messaging: knunez543439@direct.honorhealth.com

Organizations & group practices 3

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1639639636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N CENTRAL AVE APT 242",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122140",
            "telephone_number": "201-835-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062521",
            "telephone_number": "602-288-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 E Still Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063618",
            "country_code": "US",
            "telephone_number": "480-219-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "KASSANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1175067",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS",
            "identifier": "7963",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.