CASSANDRA VINCENT (PA) – Medical Physician Assistant, NPI 1386844223

CASSANDRA VINCENT (PA) is a healthcare provider. based in Randolph, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 25MP00119500 (NJ). The NPI Number for CASSANDRA VINCENT (PA) is 1386844223

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA VINCENT (PA)
NPI
1386844223
Phone
(973) 365-4566
Address
277 MILLBROOK AVE
Enumeration Date
19 July 2007
Last Update Date
7 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9294760462
Graduation Year
2003 (23 years ago)
PAC ID
8527151802
Group Practice PAC ID
0648465039
Professional Enrollment ID
I20120316000501
Address ID
NY100112122NE400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for CASSANDRA VINCENT (PA)

  • 277, Millbrook Avenue, Youngstown, Randolph Township, Morris County, New Jersey, 07869, United States

    RANDOLPH, NJ 078692105

    Phone: (973) 365-4566

    Fax: (973) 365-4651

    Type: Mailing

  • St. Mary's General Hospital, 350, Boulevard, Passaic, Passaic County, New Jersey, 07055, United States

    PASSAIC, NJ 070552840

    Phone: (973) 365-4566

    Fax: (973) 365-4651

    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: 2012-03-16

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
I20120316000501IPhysician AssistantNYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes275234$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen146134$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)5554$0
81003Automated urinalysis test3630$0
View full utilization report →

Insurance plans in this area (ZIP 07869)

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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: 0648465039View full group profile

Reviews

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Frequently asked questions

What identifier follows CASSANDRA VINCENT (PA) across health systems?
The NPI 1386844223 uniquely identifies CASSANDRA VINCENT (PA) in U.S. healthcare data.
Is CASSANDRA VINCENT (PA)'s NPI status active today?
Active status means CASSANDRA VINCENT (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits CASSANDRA VINCENT (PA)?
NPPES ties CASSANDRA VINCENT (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CASSANDRA VINCENT (PA)?
The directory associates CASSANDRA VINCENT (PA) with Randolph, New Jersey. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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