Individual provider Active NPI

Brooke Morgan Casey, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Livingston, CA
National Provider Identifier
1083351480
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61153 Issued in CA
Practice address
600 B St
Livingston, CA 95334-9593
Phone
(833) 850-3500
NPI assigned
May 17, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA61153 CA Primary

Addresses

Primary practice location

600 B St
Livingston, CA 95334-9593

Mailing address

600 B St
Livingston, CA 95334-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803003364 CA Practitioner - Physician Assistant 3577945708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61153CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Community Health CurrentSince Jun 20, 2022 Accepting new patients
Lumira Healthcare CurrentSince Jun 20, 2022 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Lumira Healthcare Past Accepting new patients

Locations

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Livingston, CA 95334
Phone (209) 850-3500

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

Interoperability endpoints

  • Direct secure messaging: brooke.casey.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1083351480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "833-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "BROOKE",
        "middle_name": "MORGAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.