Look up the most recent NPI and PECOS records

Cassie Lynn Pettit

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

PECOS Enrollment

This provider is enrolled in PECOS as CASSIE PETTIT.

Based on the most recent information from CMS, provider Cassie Lynn Pettit is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1396314894
Provider Type
Individual
Full Name
Pettit, Cassie Lynn
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/21/2021
Last Updated
3/23/2023

Contact Information

Practice Location

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

(208) 534-5600

Unlisted Fax

Mailing Location

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

(208) 534-5600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 258802 Arizona

Cassie Lynn Pettit

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mcbride, Danielle Elizabeth

Davis, Vicky Lynn

Jeddi, Krista Marie

Sears, Danielle Nathina

Kostov, Steli Pankova

Gorombei, Deborah A

Pollard-Stoiber, Joy

Khan, Jenny R

Nelson, Lisa

Robinson, Ashley