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

Kassondra Mellen, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1245418839

Kassondra Mellen, PHYSICIANASSISTANT is a Physician Assistant in Mesa, Arizona. Qualified in 2007, 19 years ago. Practices with Atlas Medical ACO LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1432 S Dobson Rd Ste 301
Mesa, AZ 85202-4773
Phone: (480) 464-9400
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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 3773 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3773 (AZ)

Record details

NPI number1245418839
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Atlas Medical Aco Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mesa