Individual provider Active NPI

Cassidy Anne Ermshar, PA-C

  • Medical Physician Assistant
  • Olympia, WA
National Provider Identifier
1679291645
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61506495 Issued in WA
Practice address
2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone
(360) 507-8146
Fax
(360) 839-2852
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61506495 WA Primary

Addresses

Primary practice location

2612 Yelm Hwy SE
Olympia, WA 98501-4826

Mailing address

2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone (360) 507-8146

Other identifiers 1

IdentifierTypeStateIssuer
2273726MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240208001309 WA Practitioner - Physician Assistant 6507209350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Campbell ArnpGroup PAC ID 2668869470, 6 clinicians

Practice addresses (Care Compare)

2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone (360) 507-8146

3901 Capital Mall Dr SW
Suite a
Olympia, WA 98502-8654
Phone (360) 570-3460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61506495WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1679291645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-507-8146",
            "fax_number": "360-839-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-507-8146",
            "fax_number": "360-839-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMSHAR",
        "first_name": "CASSIDY",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61506495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2273726",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.