Individual provider Active NPI

Casey E Fowler, PA-C

  • Physician Assistant
  • North Platte, NE
National Provider Identifier
1144332933
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
820 Issued in NE
Practice address
215 McNeel LN
North Platte, NE 69101-6054
Phone
(308) 534-6655
Fax
(308) 534-6662
NPI assigned
Aug 31, 2006
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 820 NE Primary

Addresses

Primary practice location

215 McNeel LN
North Platte, NE 69101-6054

Mailing address

215 McNeel LN
North Platte, NE 69101-6054
Phone (308) 534-6655

Other identifiers 2

IdentifierTypeStateIssuer
47076161613MedicaidNE
273714OtherNEMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20080627000229 NE Practitioner - Physician Assistant 1850463340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 McNeel LN
North Platte, NE 69101-6054
Phone (308) 568-3800

601 W Leota St
North Platte, NE 69101-6525

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
820NEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

300 E 12th St
Cozad, NE 69130
Phone (308) 784-2261

2520 Avenue M
Gothenburg, NE 69138
Phone (308) 537-7138

215 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6655

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 2

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 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1144332933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016054",
            "telephone_number": "308-534-6655",
            "fax_number": "308-534-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016054",
            "telephone_number": "308-534-6655",
            "fax_number": "308-534-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CASEY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076161613",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "273714",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.