Individual provider Active NPI

Cindy Capestany Bassford, PA-C, PHD

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1770816308
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9105028 Issued in FL
Practice address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone
(877) 345-5300
Fax
(561) 989-3665
NPI assigned
Sep 15, 2009
Last updated
Nov 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9105028 FL Primary

Addresses

Primary practice location

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (877) 345-5300

Other identifiers 1

IdentifierTypeStateIssuer
Y0E00OtherFLBCBS

Other names 1

  • Cindy Ann Capestany Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100303000429 FL Practitioner - Physician Assistant 5395888580 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians
Stephen Hornell MD PAGroup PAC ID 6103858105, 4 clinicians

Practice addresses (Care Compare)

1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (561) 241-6676

1200 S 15TH St
Fernandina Beach, FL 32034-3056
Phone (561) 241-6676

1279 Houston St
Melbourne, FL 32935-7069
Phone (561) 241-6676

1700 Waterford Dr
Vero Beach, FL 32966-8043
Phone (561) 241-6676

1765 W Hibiscus Blvd
Melbourne, FL 32901-2616
Phone (561) 241-6676

1894 S Patrick Dr
Satellite Beach, FL 32937-4324
Phone (561) 241-6676

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (561) 241-6676

2250 Indian Creek Blvd E
Vero Beach, FL 32966-1331
Phone (561) 241-6676

2250 N Courtenay Pkwy
Merritt Island, FL 32953-4234
Phone (877) 345-5300

2800 Fordham Rd NE
Palm Bay, FL 32905-4312
Phone (877) 345-5300

3260 N Harbor City Blvd
Melbourne, FL 32935-6203
Phone (561) 241-6676

3325 Breslay Dr
Melbourne, FL 32940-8402
Phone (561) 241-6676

333 E Sheridan Rd
Melbourne, FL 32901-3152
Phone (321) 724-9650

350 Malabar Rd SW
Palm Bay, FL 32907-2947
Phone (561) 241-6676

3855 Indian River Blvd
Vero Beach, FL 32960-4882
Phone (561) 241-6676

410 4TH CT
Vero Beach, FL 32962-1814
Phone (561) 241-6676

4150 Indian River Blvd
Vero Beach, FL 32967-7224
Phone (561) 241-6676

4251 Stack Blvd
Melbourne, FL 32901-8526
Phone (877) 345-5300

5405 Babcock St NE
Palm Bay, FL 32905-5020
Phone (877) 345-5300

6845 Murrell Rd
Melbourne, FL 32940-6872
Phone (561) 241-6676

7300 Watersong LN
Melbourne, FL 32940-2625
Phone (561) 241-6676

7955 16TH MNR
Vero Beach, FL 32966-1538
Phone (561) 241-6676

7999 Spyglass Hill Rd
Melbourne, FL 32940-7993
Phone (561) 241-6676

85 Bulldog Blvd
Melbourne, FL 32901-3319
Phone (561) 241-6676

964 S Harbor City Blvd
Melbourne, FL 32901-1909
Phone (561) 241-6676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA 9105028FLMDPhysician Assistant

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cindybassford@brevardskin.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1770816308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSFORD",
        "first_name": "CINDY",
        "middle_name": "CAPESTANY",
        "credential": "PA-C, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0E00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "CAPESTANY",
            "middle_name": "ANN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.