Cassidy B Pearce, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3203 Issued in KY

Practice address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Phone

(859) 259-2635

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Grace Community Health Center, Inc.Group PAC ID 3870654064, 65 clinicians

Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpearce820119@direct.ochin.org

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.

• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1568625648
  Medicare reassignment Care Compare group NPD (past)
• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1215567474
  Medicare reassignment
• Lake Area Physical Therapy Inc

  • Physical Therapist
  • Melrose, FL
  • NPI 1376682518
  Care Compare group
• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1447009303
  NPD
• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1902572993
  NPD
• Grace Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hyden, KY
  • NPI 1598207557
  NPD
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1316645344
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1649976861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "CASSIDY",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pdoh Dre LLC
• Peacefully Whole Incorporated
• Amber Peacock, RBT
• Paxton Wade Peacock, MD, MBA
• Alicia K Pearce, M.D.
• Justin Pearce, D.C.
• Kevin Andrew Pearce, MD
• Shannon Pearce, D.C.
• Leslie McFann Peard, MD
• Marisa B Pearlman

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.