KASSANDRA PETSOCK (MSN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1487305702

Certified Registered Nurse Anesthetist

KASSANDRA PETSOCK (MSN, CRNA) is a healthcare provider. based in Cleveland, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials MSN, CRNA. They hold a License No. 137429 (OH). The NPI Number for KASSANDRA PETSOCK (MSN, CRNA) is 1487305702

Main info

Female

Sole Proprietor

4 Years Of Experience

Accepts Medicare Assignment

Name

KASSANDRA PETSOCK (MSN, CRNA)

NPI

1487305702

Phone

(216) 444-2200

Address

9500 EUCLID AVE

Enumeration Date

18 January 2022

Last Update Date

4 March 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2166361768

Graduation Year

2022 (4 years ago)

PAC ID

8224425699

Group Practice PAC ID

1850203555

Professional Enrollment ID

I20220504000191

Address ID

OH441950001CL9500XAVEX300

Contacts

Other Endpoint

corterk@ccf.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness95

Years active:4State licenses:1Other names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for KASSANDRA PETSOCK (MSN, CRNA)

9500 EUCLID AVE
CLEVELAND, OH 441950002
Phone: (216) 444-2200
Type: Location
1607 E 118TH ST APT C
CLEVELAND, OH 441064366
Phone: (740) 350-6229
Type: Mailing
345 AVON BELDEN RD
AVON LAKE, OH 440122203
Phone: (740) 350-6229
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: 2022-05-04

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

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
I20220504000191	I	Certified Registered Nurse Anesthetist (Crna)	OH	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00537	Anesthesia for procedure to assess heart electrical activity	17	17	$0

View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 1850203555View full group profile

Name	Specialty	State
LYDIA GLAUDE (PHD, RN)	-	NV
LAURA FERREIRA PROVENZANO (MD)	Nephrology, Internal Medicine	OH
MRS. TONYA RENEE GOINGS (ACNP-BC)	-	OH
KESHAVA MURTHY NARAYANA GOWDA (M.D)	-	MI
MS. DANA ANNE RUBIS (CNP)	Nurse Practitioner	OH
DR. RACHAEL C SULLIVAN (M.D.)	General Surgery, Anesthesiology, Critical Care (Intensivists)	OH
MRS. BRIDGET COLLEEN WU (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DENISE LOUISE PAGE (NP-C)	-	OH
WILLIAM G IV GIBSON (FNP-C)	-	MN
ANNE M TOMSICH (CNP)	Nurse Practitioner	OH

Reviews

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Frequently asked questions

What identifier follows KASSANDRA PETSOCK (MSN, CRNA) across health systems?

The NPI 1487305702 uniquely identifies KASSANDRA PETSOCK (MSN, CRNA) in U.S. healthcare data.

Should I treat KASSANDRA PETSOCK (MSN, CRNA) as an active provider?

Patients and plans typically see KASSANDRA PETSOCK (MSN, CRNA) as active in the national extract.

What does the directory say KASSANDRA PETSOCK (MSN, CRNA) does?

Insurance directories may phrase it differently, but here KASSANDRA PETSOCK (MSN, CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Which community is linked to KASSANDRA PETSOCK (MSN, CRNA)?

KASSANDRA PETSOCK (MSN, CRNA) shows a connection to Cleveland, Ohio in registry-derived data.

Who maintains KASSANDRA PETSOCK (MSN, CRNA)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.