MRS. CASSANDRA LYNN MCKERNAN (P.A.) – Physician Assistant, NPI 1639889868

MRS. CASSANDRA LYNN MCKERNAN (P.A.) is a healthcare provider. based in Beachwood, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 1199527 (OH). The NPI Number for MRS. CASSANDRA LYNN MCKERNAN (P.A.) is 1639889868

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CASSANDRA LYNN MCKERNAN (P.A.)
NPI
1639889868
Phone
(440) 646-1600
Address
2000 AUBURN DR.
Enumeration Date
29 November 2022
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403527546
Graduation Year
2022 (4 years ago)
PAC ID
2062886567
Group Practice PAC ID
1052589777
Professional Enrollment ID
I20230324000465
Address ID
OH440779618PA7580XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:3State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MRS. CASSANDRA LYNN MCKERNAN (P.A.)

  • 2000 AUBURN DR.

    STE.350

    BEACHWOOD, OH 441224327

    Phone: (440) 646-1600

    Fax: (440) 646-1505

    Type: Mailing

  • 7580 AUBURN ROAD

    STE. 301

    CONCORD TOWNSHIP, OH 440779619

    Phone: (440) 352-7546

    Fax: (440) 352-5260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 310 Open Payments records for all available years, with a total value of $8,529.

Total Amount is formed as General ($8,529) + Research ($0) + Ownership ($0) = $8,529.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($1,396).

Total Amount

$8,529

General + Research + Ownership

Payments

310

Total payment records

General Amount

$8,529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-03-24

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
I20230324000465IPhysician AssistantOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths38782$0
99213Established patient office or other outpatient visit, 20-29 minutes145129$0
17000Destruction of precancer skin growth, 1 growth144122$0
17110Destruction of skin growth, 1-14 growths10482$0
99203New patient office or other outpatient visit, 30-44 minutes9696$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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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: 1052589777View full group profile
NameSpecialtyState
Physician AssistantOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH
Micrographic Dermatologic Surgery (Mds), DermatologyMI
D E R M A T O L O G YFL
D E R M A T O L O G YOH
D E R M A T O L O G YOH
D E R M A T O L O G YKY
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify MRS. CASSANDRA LYNN MCKERNAN (P.A.) with an NPI only?
You can start verification with NPI 1639889868 for MRS. CASSANDRA LYNN MCKERNAN (P.A.), then check state licensing separately.
Does CMS list MRS. CASSANDRA LYNN MCKERNAN (P.A.) as active?
Yes — MRS. CASSANDRA LYNN MCKERNAN (P.A.) is active in the NPI listing used on this page.
What is MRS. CASSANDRA LYNN MCKERNAN (P.A.) best known for clinically?
Directory data describes MRS. CASSANDRA LYNN MCKERNAN (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. CASSANDRA LYNN MCKERNAN (P.A.)?
MRS. CASSANDRA LYNN MCKERNAN (P.A.)'s geographic hint is Beachwood, Ohio in our summary view.
Is the information about MRS. CASSANDRA LYNN MCKERNAN (P.A.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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