Individual provider Active NPI

Elisa Hanson Casey, ARNP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1154313138
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2749512 Issued in FL
Practice address
1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402
Phone
(850) 656-2006
Fax
(850) 656-2820
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2749512 FL Primary

Addresses

Primary practice location

1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402

Mailing address

1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402
Phone (850) 656-2006

Other identifiers 2

IdentifierTypeStateIssuer
307174000MedicaidFL
Y082JOtherFLBCBS OF FLORIDA

Other names 1

  • Elisa Beth Hanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050706000810 FL Practitioner - Nurse Practitioner 8224074703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Pediatrics Associatesof Tallahassee IncGroup PAC ID 7315091105, 3 clinicians

Practice addresses (Care Compare)

1965 Capital Cir NE
Suite 200
Tallahassee, FL 32308-8402
Phone (850) 656-2006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics Associatesof Tallahassee Inc CurrentSince Apr 19, 2017 Accepting new patients
Tallahassee Medical Center, Inc. Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1965 Capital Cir NE
Ste 200
Tallahassee, FL 32308
Phone (850) 656-2006

1983 Centre Pointe Blvd
#102
Tallahassee, FL 32308

1983 Centre Pointe Blvd
Ste 104
Tallahassee, FL 32308
Phone (850) 210-0433

1965 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 445-4365

1965 Capital Cir NE
Ste 201
Tallahassee, FL 32308

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBDBA/Endpoint/JIBDBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1154313138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 CAPITAL CIR NE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088402",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 CAPITAL CIR NE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088402",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "ELISA",
        "middle_name": "HANSON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2749512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307174000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y082J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "HANSON",
            "middle_name": "BETH",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.