CASSANDRA DEE (PA-C) – Physician Assistant, NPI 1154053403

CASSANDRA DEE (PA-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2631 (ME). The NPI Number for CASSANDRA DEE (PA-C) is 1154053403

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA DEE (PA-C)
NPI
1154053403
Phone
Not provided
Address
1200 KENWOOD AVE
Enumeration Date
27 June 2022
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076479021
Graduation Year
2023 (3 years ago)
PAC ID
1254778541
Group Practice PAC ID
8123919099
Professional Enrollment ID
I20240321004053
Address ID
ME040094652BR14XXXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for CASSANDRA DEE (PA-C)

  • 1200 KENWOOD AVE

    DULUTH, MN 558114199

    Phone:

    Type: Mailing

  • 14 WYONEGONIC RD

    BRIDGTON, ME 040094652

    Phone: (207) 647-9021

    Fax: (207) 647-5932

    Type: Mailing

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: 2024-03-21

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
I20240321004053IPhysician AssistantMETBD

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 55811)

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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: 8123919099View full group profile
NameSpecialtyState
Internal MedicineME
Cardiovascular Disease (Cardiology)NH
General SurgeryMA
Nurse PractitionerME
Hospitalist, Internal MedicineOR
Physician AssistantME
Physical Medicine And RehabilitationME
Hospitalist, Family PracticeME
-ME
Family Practice, Osteopathic Manipulative MedicinePA

Reviews

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Frequently asked questions

Can I use this page to confirm CASSANDRA DEE (PA-C)'s NPI?
Yes. CASSANDRA DEE (PA-C) is listed with NPI 1154053403 in the public NPI dataset.
Does the file indicate CASSANDRA DEE (PA-C) is practicing under active NPI?
Directory data currently reports CASSANDRA DEE (PA-C) as active.
What healthcare role does CASSANDRA DEE (PA-C) hold?
Scheduling teams often label CASSANDRA DEE (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect CASSANDRA DEE (PA-C) on a map?
Expect Duluth, Minnesota as a primary anchor for CASSANDRA DEE (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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