CASSANDRA WORMACK (MD) – Family Medicine Physician, NPI 1023217437

CASSANDRA WORMACK (MD) is a healthcare provider. based in Novi, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301072467 (MI). The NPI Number for CASSANDRA WORMACK (MD) is 1023217437

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA WORMACK (MD)
NPI
1023217437
Phone
(248) 859-3900
Address
39465 W 14 Mile Rd
Enumeration Date
16 July 2007
Last Update Date
1 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8779069699
Graduation Year
1997 (29 years ago)
PAC ID
2365423167
Group Practice PAC ID
4880918051
Professional Enrollment ID
I20040527000465
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for CASSANDRA WORMACK (MD)

  • 39465 W 14 Mile Rd

    Novi, MI 483771600

    Phone: (248) 859-3900

    Fax: (888) 483-0118

    Type: Location

  • 39465, West 14 Mile Road, Novi, Commerce Township, Oakland County, Michigan, 48390, United States

    NOVI, MI 483771600

    Phone:

    Type: Mailing

  • 2205, Jolly Road, Okemos, Alaiedon Township, Ingham County, Michigan, 48864, United States

    STE. B

    OKEMOS, MI 488643983

    Phone: (517) 347-4085

    Fax: (517) 347-4170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($115).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

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: 2021-06-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040527000465IFamily PracticeMITBD
I20210604001528IFamily PracticeNVTBD

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 48377)

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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: 4880918051View full group profile
NameSpecialtyState
Family PracticeAR
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerNY
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is there an official ID for CASSANDRA WORMACK (MD) in U.S. healthcare records?
The official identifier for CASSANDRA WORMACK (MD) is NPI 1023217437.
Would CASSANDRA WORMACK (MD) appear as active to a payer?
You can treat CASSANDRA WORMACK (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CASSANDRA WORMACK (MD)?
At a glance, CASSANDRA WORMACK (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CASSANDRA WORMACK (MD)?
Directory geography for CASSANDRA WORMACK (MD) centers on Novi, Michigan.
Does CASSANDRA WORMACK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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