Active NPI
Leanne Margaret Casserlie, PA-C
- Physician Assistant
- Springfield, OH
National Provider Identifier
1083216477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006754RX
- Practice address
- 30 W McCreight Ave Ste 106
Springfield, OH 45504-1853 - Phone
- (937) 523-9885
- Fax
- (937) 523-9886
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.006754 | OH | |
| Physician Assistant | 363A00000X | 50.006754RX | OH | Primary |
Addresses
Primary practice location
30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Mailing address
30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone (937) 523-9885
Other practice location 1
401 N Ewing St
Lancaster, OH 43130-3371
Phone (740) 687-8071
Other practice location 2
4437 State Route 159 Ste 115
Chillicothe, OH 45601-7065
Phone (740) 779-4360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.ctv@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 W McCreight Ave
Suite 106
Springfield, OH 45504-1853
Phone (937) 523-9820
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.006754 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Healthcare Professionals Inc | Current | Accepting new patients | |
| Fairfield Healthcare Professionals, Inc. | Current | Accepting new patients |
Locations
401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000
Interoperability endpoints
- lcasserlie2483525@direct.bsmhealth.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 and National Provider Directory roles.
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
-
- Surgery Physician
- Lancaster, OH
- NPI 1457396368
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Urgent Care Clinic/Center
- Lancaster, OH
- NPI 1700334182
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1083216477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE STE 106",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041853",
"telephone_number": "937-523-9885",
"fax_number": "937-523-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE STE 106",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041853",
"telephone_number": "937-523-9885",
"fax_number": "937-523-9886"
}
],
"practiceLocations": [
{
"address_1": "401 N Ewing St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431303371",
"country_code": "US",
"telephone_number": "740-687-8071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4437 State Route 159 Ste 115",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456017065",
"country_code": "US",
"telephone_number": "740-779-4360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSERLIE",
"first_name": "LEANNE",
"middle_name": "MARGARET",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.006754",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006754RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.ctv@adena.medicity.net",
"affiliation": "N",
"address_1": "4437 State Route 159 Ste 115",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456017065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.