Casey Michael Favre, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R875413 Issued in MS

Practice address

4540 B Shepherds Squard
Diamondhead, MS 39525

Phone

(228) 255-8216

Fax

(228) 255-8219

NPI assigned

May 22, 2011

Last updated

Jan 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casey.favre.p1@direct.cfhc.nextgenshare.com

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.

• Hancock Emergency Group LLC

  • Emergency Medicine Physician
  • Bay St Louis, MS
  • NPI 1295142396
  Medicare reassignment Care Compare group
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Ochsner Mississippi, LLC

  dba Ochsner Urgent Care & Occupational Health - Diamondhead

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  dba Ochsner Health Center - West Picayune

  • Internal Medicine Physician
  • Picayune, MS
  • NPI 1487253407
  NPD
• Keystone Medical Services of Mississippi, PA

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1336322775
  NPD (past)
• Ochsner Medical Center - Hancock, LLC

  dba Ochsner Health Center- East Picayune

  • Rural Health Clinic/Center
  • Picayune, MS
  • NPI 1730786120
  NPD (past)

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

• Ochsner Medical Center - Hancock LLC

  dba Ochsner Medical Center - Hancock

  • General Acute Care Hospital
  • Bay Saint Louis, MS
  • NPI 1588629968
  Care Compare affiliation

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1073806246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201658",
            "telephone_number": "228-467-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 B SHEPHERDS SQUARD",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "39525",
            "telephone_number": "228-255-8216",
            "fax_number": "228-255-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVRE",
        "first_name": "CASEY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-22",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R875413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R875413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duramed, Inc
• Angela Dysangco
• James W Embry, NP
• Encore Rehabailitation
• Encore Rehabilitation Inc (Encore Rehab of Diamondhead)
• Stephanie Lee-Anne Fayard, RD
• Sandra Ferrill, LPN
• Brittany Spahr Fischtziur
• Barbara Denise Franceski, NP-C
• Garrett Fratesi, DO

• Family Nurse Practitioner in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.