CASSIDY EDWARDS (PA-C) – Medical Physician Assistant, NPI 1770168239

CASSIDY EDWARDS (PA-C) is a healthcare provider. based in Scottsburg, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10003976B (IN). The NPI Number for CASSIDY EDWARDS (PA-C) is 1770168239

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY EDWARDS (PA-C)
NPI
1770168239
Phone
(812) 595-7723
Address
259 N BOATMAN RD
Enumeration Date
16 March 2021
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8125424921
Graduation Year
2022 (4 years ago)
PAC ID
6800332677
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20240729003109
Address ID
IN471509483NE5130XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for CASSIDY EDWARDS (PA-C)

  • 259 N BOATMAN RD

    SCOTTSBURG, IN 471707941

    Phone: (812) 595-7723

    Type: Mailing

  • 443 SPRING ST STE 200

    JEFFERSONVILLE, IN 471304494

    Phone: (812) 288-8360

    Type: Location

  • 101 BRANIGIN BLVD

    FRANKLIN, IN 461312623

    Phone: (800) 852-0232

    Type: Location

  • 291 N BOATMAN RD

    SCOTTSBURG, IN 471707941

    Phone: (812) 595-7723

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($85).

Total Amount

$202

General + Research + Ownership

Payments

10

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-29

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
I20240729003109IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47170)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

Can I cross-check CASSIDY EDWARDS (PA-C) using NPI 1770168239?
NPI 1770168239 belongs to CASSIDY EDWARDS (PA-C); compare other details if you need extra assurance.
Is CASSIDY EDWARDS (PA-C) still an active registrant?
CASSIDY EDWARDS (PA-C) carries an active NPI according to the public dataset.
How would a patient describe CASSIDY EDWARDS (PA-C)'s focus?
For CASSIDY EDWARDS (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CASSIDY EDWARDS (PA-C) associated with Scottsburg?
Public fields place CASSIDY EDWARDS (PA-C) around Scottsburg, Indiana. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CASSIDY EDWARDS (PA-C) is noted as March 16, 2021 where the registry provides it.

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