CASSIDY WEST (PA-C) – Physician Assistant, NPI 1396100194

CASSIDY WEST (PA-C) is a healthcare provider. based in Boswell, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2528 (OK). The NPI Number for CASSIDY WEST (PA-C) is 1396100194

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY WEST (PA-C)
NPI
1396100194
Phone
(580) 513-6407
Address
RR 1 BOX 836
Enumeration Date
21 December 2015
Last Update Date
30 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
2015 (11 years ago)
PAC ID
4284938804
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20160202001409
Address ID
OK747431820HU410XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for CASSIDY WEST (PA-C)

  • RR 1 BOX 836

    BOSWELL, OK 747279726

    Phone: (580) 513-6407

    Type: Mailing

  • 410 N M ST

    HUGO, OK 747431820

    Phone: (580) 325-7561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($146).

Total Amount

$146

General + Research + Ownership

Payments

1

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2016-02-02

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
I20160202001409IPhysician AssistantTXTBD

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 minutes11576$0
99214Established patient office or other outpatient visit, 30-39 minutes3425$0
View full utilization report →

Insurance plans in this area (ZIP 74727)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What is the standard ID for CASSIDY WEST (PA-C) in the U.S.?
In the U.S., CASSIDY WEST (PA-C) is identified by NPI 1396100194.
Does the public listing show CASSIDY WEST (PA-C) as active?
CASSIDY WEST (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret CASSIDY WEST (PA-C)'s specialty?
The extract shows Physician Assistant for CASSIDY WEST (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to CASSIDY WEST (PA-C)?
CASSIDY WEST (PA-C) shows a connection to Boswell, Oklahoma in registry-derived data.
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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