Cassandra D MC Koy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F346767-01 Issued in NY

Practice address

9 Jordan LN
Middletown, NY 10940-1603

Phone

(845) 699-0263

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

94.73 of 100Reported as group

Quality

88.19

Improvement activities

40

Cost

64.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ion Oltean Physician PC

  • Internal Medicine Physician
  • Bayside, NY
  • NPI 1912236811
  NPD

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1760672950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JORDAN LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401603",
            "telephone_number": "845-699-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JORDAN LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401603",
            "telephone_number": "845-699-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC KOY",
        "first_name": "CASSANDRA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "273518-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346767-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02708258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Mayo III, ATC
• Jeanette Maysonet-Myles, RN
• Stephanie Ellaine Vicencio Mazo, MD
• Maria Ann Mazuca, PA-C
• Jennifer Mazza
• Daniel James McCabe, DMA, MA, CCC-SLP
• Keriann McCabe, LMHC
• Matthew McCaffery, DO
• Simonea McCalla
• Gina M McCann

• Family Nurse Practitioner in Middletown, NY
• Providers in Middletown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.