CASSIE MARIE ISHMAEL – Certified Registered Nurse Anesthetist, NPI 1184057630

CASSIE MARIE ISHMAEL is a healthcare provider. based in Riverside, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209010648 (IL). The NPI Number for CASSIE MARIE ISHMAEL is 1184057630

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CASSIE MARIE ISHMAEL
NPI
1184057630
Phone
(708) 710-2142
Address
402 REPTON RD
Enumeration Date
19 August 2013
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277256526
Graduation Year
2013 (13 years ago)
PAC ID
9739314808
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20230505000695
Address ID
FL346956607SA3231XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for CASSIE MARIE ISHMAEL

  • 402 REPTON RD

    RIVERSIDE, IL 605461622

    Phone: (708) 710-2142

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Location

  • 1496 TADPOLE LN

    CENTRALIA, IL 628014253

    Phone: (708) 710-2142

    Type: Mailing

  • HSHS ST. ELIZABETH'S HOSPITAL

    1 SAINT ELIZABETH BLVD

    O'FALLON, IL 62269

    Phone: (618) 234-2120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230505000695ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 60546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406753623View full group profile

Reviews

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Frequently asked questions

What is the registry number for CASSIE MARIE ISHMAEL?
The registry entry for CASSIE MARIE ISHMAEL shows NPI 1184057630.
Does the public listing show CASSIE MARIE ISHMAEL as active?
CASSIE MARIE ISHMAEL's NPI record reflects an active status in NPPES.
How should patients interpret CASSIE MARIE ISHMAEL's specialty?
The extract shows Certified Registered Nurse Anesthetist for CASSIE MARIE ISHMAEL. Clinical services aligned with this taxonomy classification.
What city is tied to CASSIE MARIE ISHMAEL?
The directory associates CASSIE MARIE ISHMAEL with Riverside, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for CASSIE MARIE ISHMAEL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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