Individual provider Active NPI

Cassie Ann McDonald, FNP-C

  • Pain Medicine Physician
  • Mesa, AZ
National Provider Identifier
1982595112
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
326686 Issued in AZ
Practice address
4566 E Inverness Ave Ste 108
Mesa, AZ 85206-4633
Phone
(480) 561-5000
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 326686 AZ Primary

Addresses

Primary practice location

4566 E Inverness Ave Ste 108
Mesa, AZ 85206-4633

Mailing address

4612 E Glade Cir
Mesa, AZ 85206-3343
Phone (720) 837-7119

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251008004292 AZ Practitioner - Nurse Practitioner 3577060102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

4566 E Inverness Ave
Suite 108
Mesa, AZ 85206-4633
Phone (480) 561-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pain and Spine CurrentSince Jul 28, 2025 Accepting new patients
Canyon Pain and Spine Pain Medicine CurrentSince Jul 28, 2025 Accepting new patients

Locations

1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453

4540 E Baseline Rd
Ste 117118
Mesa, AZ 85206

10238 E Hampton Ave
Ste 416
Mesa, AZ 85209

4566 E Inverness Ave
Ste 108
Mesa, AZ 85206
Phone (480) 659-4811

21321 E Ocotillo Rd
Ste 125
Queen Creek, AZ 85142
Phone (480) 677-4800

1492 S Mill Ave
Ste 305
Tempe, AZ 85281

Organizations & group practices 2

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1982595112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 E GLADE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063343",
            "telephone_number": "720-837-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-561-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CASSIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "326686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.