CASSIE RENEE VAUGHN (PA-C) – Physician Assistant, NPI 1386274850

CASSIE RENEE VAUGHN (PA-C) is a healthcare provider. based in Barbourville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2614 (KY). The NPI Number for CASSIE RENEE VAUGHN (PA-C) is 1386274850

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CASSIE RENEE VAUGHN (PA-C)
NPI
1386274850
Phone
(606) 627-4002
Address
151 CHARCOAL LN
Enumeration Date
23 January 2020
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065469287
Graduation Year
2015 (11 years ago)
PAC ID
9537597299
Group Practice PAC ID
7416867387
Professional Enrollment ID
I20200312001314
Address ID
KY409061336BA215XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for CASSIE RENEE VAUGHN (PA-C)

  • 151 CHARCOAL LN

    BARBOURVILLE, KY 409067573

    Phone: (606) 627-4002

    Type: Mailing

  • PO BOX 1150

    BARBOURVILLE, KY 409065150

    Phone: (606) 627-4002

    Type: Mailing

  • 215 N ALLISON AVE

    BARBOURVILLE, KY 409061336

    Phone: (606) 546-9287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $805.

Total Amount is formed as General ($805) + Research ($0) + Ownership ($0) = $805.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($238).

Total Amount

$805

General + Research + Ownership

Payments

51

Total payment records

General Amount

$805

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2020-03-12

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
I20200312001314IPhysician AssistantKYTBD

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 40906)

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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: 7416867387View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O P T O M E T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Emergency MedicineKY
Physician AssistantKY

Reviews

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Frequently asked questions

Does CASSIE RENEE VAUGHN (PA-C) have a public NPI I can cite?
Public records show CASSIE RENEE VAUGHN (PA-C) under NPI 1386274850.
Should I treat CASSIE RENEE VAUGHN (PA-C) as an active provider?
Patients and plans typically see CASSIE RENEE VAUGHN (PA-C) as active in the national extract.
What services align with CASSIE RENEE VAUGHN (PA-C)'s listing?
CASSIE RENEE VAUGHN (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to CASSIE RENEE VAUGHN (PA-C)?
The directory associates CASSIE RENEE VAUGHN (PA-C) with Barbourville, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for CASSIE RENEE VAUGHN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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