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

Sandra Kasumovic, PA-C

Individual provider Medical Physician Assistant · NPI 1780009506

Sandra Kasumovic, PA-C is a Physician Assistant in Caldwell, Idaho. Qualified in 2013, 13 years ago. Practices with Gold Standard Medical Group PC, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2716 Syringa Ln
Caldwell, ID 83605-3052
Phone: (208) 477-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1136 (ID)
Mental Health Counselor Taxonomy 101YM0800X
Physician Assistant Taxonomy 363A00000X · Licence PA1136 (ID)

Record details

NPI number1780009506
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 3, 2014
Last updated in NPPESMarch 15, 2026
Certification dateMarch 15, 2026
Mailing address3 Makin Ln, Succasunna, NJ 07876-1111

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Gold Standard Medical Group Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Caldwell