Individual provider Active NPI

Cassandra C. Gilpin

  • Physician Assistant
  • Seymour, IN
National Provider Identifier
1861277030
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004331A Issued in IN
Practice address
225 S Pine St, JMB, 2ND Floor
Seymour, IN 47274
Phone
(812) 523-7466
Fax
(812) 523-7471
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 10004331A IN Primary

Addresses

Primary practice location

225 S Pine St, JMB, 2ND Floor
Seymour, IN 47274

Mailing address

225 S Pine St, JMB, 2ND Floor
Seymour, IN 47274
Phone (812) 523-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240506000285 IN Practitioner - Physician Assistant 3870933054 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Apr 25, 2024 Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
#3
Seymour, IN 47274

225 S Pine St
Fl 2
Seymour, IN 47274
Phone (812) 523-7466

Organizations & group practices 3

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1861277030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PINE ST, JMB, 2ND FLOOR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-523-7466",
            "fax_number": "812-523-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST, JMB, 2ND FLOOR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-523-7466",
            "fax_number": "812-523-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "CASSANDRA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004331A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.