MS. KASSANDRA ALYSABETH MELLOTT (PA-C) – Physician Assistant, NPI 1528505070
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for MS. KASSANDRA ALYSABETH MELLOTT (PA-C)
1400 Senate Ave
Suite 108
Red Oak, IA 515661271
Phone: (712) 623-7280
Type: Location
PO BOX 217
CLARINDA, IA 516320217
Phone: (712) 542-2176
Fax: (712) 542-8311
Type: Mailing
220 ESSIE DAVISON DR
CLARINDA, IA 516322915
Phone: (712) 542-2176
Fax: (712) 542-8311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170306001068 | I | Physician Assistant | IA | TBD |
| I20180921000792 | I | Physician Assistant | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 68 | 23 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | 36 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 30 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 51566)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Orthopedic Surgery, Sports Medicine | SD | |
| Nurse Practitioner | NE | |
| H E M A T O L O G Y/ O N C O L O G Y | OR | |
| P O D I A T R Y | NE | |
| General Practice | WI | |
| Family Practice, Emergency Medicine | IA |
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