Cassie L Mandala, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085002999 Issued in IL

Practice address

2525 Kaneville Rd
Geneva, IL 60134-2578

Phone

(630) 584-1400

Fax

(630) 584-1733

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cassie L Benson Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

81.69 of 100Reported as group

Quality

74.66

Promoting interoperability

100

Improvement activities

40

Cost

64.3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassie.mandala.1@26750.direct.athenahealth.com

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.

• Fox Valley Orthopaedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1295706851
  Medicare reassignment NPD
• Fox Valley Orthopaedic Associates, PLLC

  dba Fox Valley Orthopaedic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Geneva, IL
  • NPI 1104897644
  NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1932383445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDALA",
        "first_name": "CASSIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "753210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "BENSON",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Mahon, PSY.D.
• Lorina Mahoney
• Lauren Malo, MSW, LCSW
• Mark Malone, M.D.
• Reise Malone, MD
• Arun G Mani, DC
• Seema S Mani, D.C.
• Shwetha Manjunath, M.D.
• Jamie K Manshreck, RN, IBCLC
• Andrea S Markham, PA-C

• Physician Assistant in Geneva, IL
• Providers in Geneva, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.