Individual provider Active NPI

Cassidy J. Sanders, PA

  • Physician Assistant
  • Louisville, CO
National Provider Identifier
1861866899
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005532 Issued in CO
Practice address
950 Spruce St Ste 1H
Louisville, CO 80027-1976
Phone
(720) 598-1189
Fax
(720) 540-4250
NPI assigned
Nov 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 PA.0005532 CO Primary
Physician Assistant 363A00000X 12305 MN

Addresses

Primary practice location

950 Spruce St Ste 1H
Louisville, CO 80027-1976

Mailing address

950 Spruce St Ste 1H
Louisville, CO 80027-1977
Phone (720) 598-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181113002714 CO Practitioner - Physician Assistant 1456651520 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005532COMDPhysician Assistant
12305MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, Inc. Family Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

Interoperability endpoints

  • Direct secure messaging: cassidysanders@pcp.allscriptsdirect.net
  • Direct secure messaging: cassidy.sanders.1@2395.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.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1861866899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SPRUCE ST STE 1H",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271977",
            "telephone_number": "720-598-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SPRUCE ST STE 1H",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271976",
            "telephone_number": "720-598-1189",
            "fax_number": "720-540-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CASSIDY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005532",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.