Individual provider Active NPI

Cassandra Mason, RDN

  • Physician Assistant
  • Walla Walla, WA
National Provider Identifier
1760077705
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA70072208 Issued in WA
Practice address
112 Quail LN
Walla Walla, WA 99362-7171
Phone
(720) 237-4895
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Physician Assistant 363A00000X PA70072208 WA Primary

Addresses

Primary practice location

112 Quail LN
Walla Walla, WA 99362-7171

Mailing address

PO Box 427
College Place, WA 99324-0427

Other practice location 1

1113 E Westview Ct
Spokane, WA 99218-1319
Phone (208) 263-9757

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
I20260119000835 WA Practitioner - Physician Assistant 0840777017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Pain Clinic PLLCGroup PAC ID 3274712609, 9 clinicians

Practice addresses (Care Compare)

1113 E Westview CT
Spokane, WA 99218-1319
Phone (208) 263-9757

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA70072208WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Pain Clinic PLLC CurrentSince Jan 8, 2026 Accepting new patients

Locations

1327 W Superior St
Ste 101
Sandpoint, ID 83864
Phone (208) 263-9757

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

1113 E Westview Ct
Spokane, WA 99218
Phone (208) 263-9757

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/73383

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1760077705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993240427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUAIL LN",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627171",
            "telephone_number": "720-237-4895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 E Westview Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181319",
            "country_code": "US",
            "telephone_number": "208-263-9757",
            "fax_number": "208-965-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "CASSANDRA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70072208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.