Individual provider Active NPI

Kassandra Michelle Hardtke, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1790454775
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9845 Issued in AZ
Practice address
1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003485A IN
Physician Assistant 363A00000X 9845 AZ Primary

Addresses

Primary practice location

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (669) 742-6738

Other identifiers 1

IdentifierTypeStateIssuer
132972MedicaidAZ

Other names 1

  • Kassandra Michelle Kernagis Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL Epic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220222000120 IN Practitioner - Physician Assistant 2567856396 Reassigns benefits to 1 organization
I20230823000726 AZ Practitioner - Physician Assistant 2567856396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10494 W Thunderbird Blvd
Sun City, AZ 85351-6122
Phone (866) 974-2673

14520 W Granite Valley Dr
Sun City West, AZ 85375-5855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education, LLC Physician Assistant CurrentSince Sep 1, 2023 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (869) 742-6736

3591 S Mercy Rd
Ste 101
Gilbert, AZ 85297

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2676

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: kassandra.hardtke.1@22724.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1790454775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "669-742-6738",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024724",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDTKE",
        "first_name": "KASSANDRA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003485A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132972",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "address_1": "8701 Broadway",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464107035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "KERNAGIS",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.