Cassandra Lynn Henderson, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

8178 Issued in AZ

Practice address

1400 N Gilbert Rd Ste L
Gilbert, AZ 85234-2327

Phone

(480) 956-2403

Fax

(480) 956-8518

NPI assigned

Apr 16, 2019

Last updated

Jul 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nathamy LLCGroup PAC ID 6406229376, 3 clinicians

Advanced Dermatology of Arizona PCGroup PAC ID 0547561169, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chenderson@affderm.emadirect.md

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.

• Advanced Dermatology of Arizona, PC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1922484088

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nathamy LLC

  dba Derm Now Arizona

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1164138319
  Medicare reassignment Care Compare group
• Richard Lee Averitte Jr PLLC

  dba Affiliated Dermatology

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1407804115
  Medicare reassignment
• Spectrum Dermatology, PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1922392398
  Medicare reassignment
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  AZ

  Medicare reassignment
• Richard Lee Averitte Jr., PLLC

  dba Affiliated Dermatology

  • Non-Pharmacy Dispensing Site
  • Surprise, AZ
  • NPI 1598112831
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1811550759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE L",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342327",
            "telephone_number": "480-956-2403",
            "fax_number": "480-956-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE L",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342327",
            "telephone_number": "480-956-2403",
            "fax_number": "480-956-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "8178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS",
            "identifier": "8178",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1176027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Helfrich, DC
• Dana Ashley Helgeson, PA-C
• Jordan Helms
• Help to Heal Counseling Services PLLC
• Saira Punjwani Hemani, PA-C
• Grace Olivia Hendricks
• Hendrickson Hearing LLC
• Dylan Hendrickson, HADE
• Trude Hendrickson, LCSW
• Wade Lars Hendrickson, BC-HIS

• Dermatology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.