Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassidi Rae Spurlock, PA

Individual provider Medical Physician Assistant · NPI 1396591624

Cassidi Rae Spurlock, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices with University of Kentucky, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1350 Bull Lea Rd
Lexington, KY 40511-1247
Phone: (859) 246-8000
Fax: (859) 246-8032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3581 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3581 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3581 (KY)

Record details

NPI number1396591624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 26, 2024
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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