Individual provider Active NPI

Mariah Whitney Cassum, PA-C

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1891282331
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09354 Issued in NC
Practice address
709 N Justice St Ste B
Hendersonville, NC 28791-3455
Phone
(828) 692-4289
Fax
(828) 696-1794
NPI assigned
Apr 19, 2018
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 P.A.0005308 CO
Physician Assistant 363A00000X 0010-09354 NC Primary

Addresses

Primary practice location

709 N Justice St Ste B
Hendersonville, NC 28791-3455

Mailing address

709 N Justice St Ste B
Hendersonville, NC 28791-3455
Phone (828) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200218003129 NC Practitioner - Physician Assistant 8426313024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Community Health Services, Inc.Group PAC ID 3173434743, shared by 22 NPIs, 95 clinicians

Practice addresses (Care Compare)

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 692-4289

29 W French Broad St
Brevard, NC 28712-4773

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P.A.0005308COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc CurrentSince Mar 2, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Mar 2, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Mar 2, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services, Inc. Past Accepting new patients
Blue Ridge Community Health Services Inc. Past Accepting new patients
Blue Ridge Community Health Services Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients
Blue Ridge Community Health Services, Inc Past Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

110 Chadwick Square Ct
Ste A
Hendersonville, NC 28739
Phone (828) 617-9122

110 Chadwick Square Ct
Ste C
Hendersonville, NC 28739
Phone (828) 698-8135

709 N Justice St
Hendersonville, NC 28791
Phone (828) 232-2946

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

146 Nesbitt Rdg
Lake Lure, NC 28746
Phone (828) 625-4400

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

Interoperability endpoints

  • Direct secure messaging: mariah.cassum.1@21884.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1891282331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSUM",
        "first_name": "MARIAH",
        "middle_name": "WHITNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "P.A.0005308",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.