Individual provider Active NPI

Casey Elizabeth Larue, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1104025105
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15642 Issued in TN
Practice address
1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700
Phone
(865) 584-5762
Fax
(833) 908-2102
NPI assigned
Jul 11, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15642 TN Primary

Addresses

Primary practice location

1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700

Mailing address

1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700
Phone (865) 584-4747

Other practice location 1

200 Fort Sanders West Blvd
MOB 1, suite 304
Knoxville, TN 37922-3357
Phone (865) 531-8848

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110309000893 TN Practitioner - Nurse Practitioner 1153503388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

1275 Dick Lonas Rd
Knoxville, TN 37909-1326

200 Fort Sanders W Blvd
Suite 304
Knoxville, TN 37922-3360
Phone (865) 531-8848

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

7211 Wellington Dr
Knoxville, TN 37919-5968

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 16, 2011 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 16, 2011 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

200 Fort Sanders West Blvd
Ste 304
Knoxville, TN 37922
Phone (865) 531-8848

Interoperability endpoints

  • Direct secure messaging: casey.larue.1@20785.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1104025105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PINNACLE POINTE WAY STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223700",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINNACLE POINTE WAY STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223700",
            "telephone_number": "865-584-5762",
            "fax_number": "833-908-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Fort Sanders West Blvd",
            "address_2": "MOB 1, suite 304",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223357",
            "country_code": "US",
            "telephone_number": "865-531-8848",
            "fax_number": "865-693-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARUE",
        "first_name": "CASEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.