Active NPI
Elisa Hanson Casey, ARNP
- Nurse Practitioner
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2749512
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307174000 | Medicaid | FL | |
| Y082J | Other | FL | BCBS OF FLORIDA |
Other names 1
- Elisa Beth Hanson
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine and Pediatrics Associatesof Tallahassee Inc | Current | 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
- 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.
-
- General Practice Physician
- Tallahassee, FL
- NPI 1629147228
FL
-
- Rehabilitation Hospital Unit
- Tallahassee, FL
- NPI 1083375828
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.