Casey Anderson, PA-C
Individual provider Active NPI Physician Assistant · Midland, MI
NPI 1013490549 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1013490549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601008784 (MI)
- Practice address
- 4201 Campus Ridge Dr Ste 2700
Midland, MI 48640-6138 - Phone
- (989) 839-3385
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mymichigan Medical Center Midland
Practice addresses (Care Compare)
3007 N Saginaw Rd
Mymichigan Psychiatry
Midland, MI 48640-4555
Phone (989) 839-3385
3009 N Saginaw Rd
Mymichigan Urgent Care Midland
Midland, MI 48640-4555
Phone (989) 633-1350
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
Hospital & facility affiliations
- Mymichigan Medical Center Midland
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181128002229 | MI | Practitioner - Physician Assistant | 6002150281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008784 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current |
Accepting new patients | |
| Mymichigan Medical Center Midland | Current |
Accepting new patients |
Locations
4201 Campus Ridge Dr
Ste 2700
Midland, MI 48640
4611 N Campus Ridge Dr
Midland, MI 48640
Phone (844) 832-1956
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
3007 N Saginaw Rd
Midland, MI 48640
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008784 | MI | Yes |
Addresses
Primary practice location
4201 Campus Ridge Dr Ste 2700
Midland, MI 48640-6138
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3385
Other providers in Midland, MI
- Amanda Alvord
- Wynette Grace Amazona
- Bethanie Ambs
- Loabat Amiri
- Rene Lynn Amyotte
- Joanie Lynne Anderson
- Lisa Marie Anderson
- Molly Anderson
- Paul V Anderson
- Andrew J. Keeley, PLLC
All providers in Midland, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.