Individual provider Active NPI

Ceciley Starkey Casselman, M.D.

  • Family Medicine Physician
  • Greencastle, IN
National Provider Identifier
1003286667
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01081337A Issued in IN
Practice address
1542 S Bloomington St
Greencastle, IN 46135-2212
Phone
(765) 301-7679
NPI assigned
Sep 25, 2015
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01081337A IN Primary

Addresses

Primary practice location

1542 S Bloomington St
Greencastle, IN 46135-2212

Mailing address

1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone (317) 962-8893

Other practice location 1

209 E Pat Rady Way
Bainbridge, IN 46105-5508
Phone (765) 301-7679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cecileycasselman@pch.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206001018 IN Practitioner - Family Practice 3971803446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam County HospitalGroup PAC ID 1951396605, 46 clinicians

Practice addresses (Care Compare)

440 E Pat Rady Way
North Putnam Family Healthcare
Bainbridge, IN 46105-9359
Phone (765) 522-2556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Hospital CurrentSince Jan 22, 2019 Accepting new patients
Putnam County Hospital CurrentSince Jan 22, 2019 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital Past Accepting new patients

Locations

440 E Pat Rady Way
Bainbridge, IN 46105
Phone (765) 522-2556

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

Interoperability endpoints

  • Direct secure messaging: ccasselman287654@direct-prd.stelizabeth.com
  • Direct secure messaging: cstarkeycasselman579324@direct.franciscanalliance.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1003286667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022213",
            "telephone_number": "317-962-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S BLOOMINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352212",
            "telephone_number": "765-301-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Pat Rady Way",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "IN",
            "postal_code": "461055508",
            "country_code": "US",
            "telephone_number": "765-301-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSELMAN",
        "first_name": "CECILEY",
        "middle_name": "STARKEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081337A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cecileycasselman@pch.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "address_1": "1542 S Bloomington St",
            "city": "Greencastle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461352212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.