Individual provider Active NPI

Casey Jordan Elison, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1073086310
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001060 Issued in CA
Practice address
2823 Fresno St
Fresno, CA 93721
Phone
(559) 459-6000
Fax
(559) 498-8182
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA95001060 CA Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

1894 W Sandalwood Dr
Meridian, ID 83646-1365
Phone (208) 340-7894

Other practice location 2

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-6000

Other practice location 3

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

Other identifiers 3

IdentifierTypeStateIssuer
41321OtherIDBOARD OF REGISTERED NURSING
95109684OtherCABOARD OF REGISTERED NURSING
NA950001060OtherCABOARD OF REGISTERED NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531002015 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820321185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
NA95001060CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince May 12, 2019 Accepting new patients
Community Health Partners CurrentSince Aug 14, 2021 Accepting new patients
Permanente Medical Group Inc CurrentSince Mar 30, 2019 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 30, 2019 Accepting new patients
Monterey Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients

Locations (25 of 29)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7014 N Whitney Ave
Ste B
Fresno, CA 93720
Phone (559) 321-2900

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

Organizations & group practices 7

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

Hospital & facility affiliations 1

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1073086310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "559-459-6000",
            "fax_number": "559-498-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 W Sandalwood Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461365",
            "country_code": "US",
            "telephone_number": "208-340-7894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93721",
            "country_code": "US",
            "telephone_number": "559-459-6000",
            "fax_number": "559-498-8182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2755 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116800",
            "country_code": "US",
            "telephone_number": "559-324-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELISON",
        "first_name": "CASEY",
        "middle_name": "JORDAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "41321",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95109684",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "NA950001060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.