Active NPI
Ryan Casey
- Physician Assistant
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1648 NW 1St St
Meridian, ID 83642-2212 - Phone
- (208) 888-9393
- Fax
- (208) 888-9525
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1648 NW 1St St
Meridian, ID 83642-2212
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 985-1423
Other practice location 1
21262 Beach Blvd Apt 201
Huntington Beach, CA 92648-5712
Phone (714) 749-0771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240425002658 | ID | Practitioner - Physician Assistant | 8820445166 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10482 W Carlton Bay Dr
Garden City, ID 83714-5143
Phone (208) 955-6500
11197 W Fairview Ave
Boise, ID 83713-7935
Phone (208) 378-8011
1375 N Happy Valley Rd
Nampa, ID 83687-5280
Phone (208) 809-2869
1900 W Chinden Blvd
Meridian, ID 83646-6690
Phone (208) 809-2860
260 S Ten Mile Rd
Meridian, ID 83642-6100
Phone (208) 809-2872
512 N 21St Ave
Caldwell, ID 83605-4368
Phone (208) 809-2875
6052 W State St
Boise, ID 83703-2739
Phone (208) 947-1947
8971 W Overland Rd
Boise, ID 83709-1651
Phone (208) 378-4288
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 77.29
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 74.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Group, LLC | Current | Accepting new patients | |
| Pioneer Sports & Pain Center LLC | Current | Accepting new patients | |
| Alliance Medical Group, LLC | Current | Accepting new patients | |
| Alliance Medical Group, LLC | Past | Accepting new patients |
Locations
10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690
757 E Wythe Creek Ct
#102
Kuna, ID 83634
Phone (208) 922-4908
1648 NW 1st St
Meridian, ID 83642
Phone (208) 888-9393
1900 W Chinden Blvd
Meridian, ID 83646
Phone (208) 809-2860
Interoperability endpoints
- ryan.casey@phmg.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1487326203
-
- Rehabilitation Chiropractor
- Kuna, ID
- NPI 1598068280
-
- Family Medicine Physician
- Meridian, ID
- NPI 1386003770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1144908252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191050",
"city": "BOISE",
"state": "ID",
"postal_code": "837191050",
"telephone_number": "208-985-1423",
"fax_number": "208-955-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 NW 1ST ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422212",
"telephone_number": "208-888-9393",
"fax_number": "208-888-9525"
}
],
"practiceLocations": [
{
"address_1": "21262 Beach Blvd Apt 201",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926485712",
"country_code": "US",
"telephone_number": "714-749-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASEY",
"first_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.