Individual provider Active NPI

Kelsey Powell Casari, CRNP

  • Family Nurse Practitioner
  • Dickson City, PA
National Provider Identifier
1164034856
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020784 Issued in PA
Practice address
247 Main St
Dickson City, PA 18519-1641
Phone
(570) 344-9997
Fax
(570) 344-3518
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 SP020784 PA Primary

Addresses

Primary practice location

247 Main St
Dickson City, PA 18519-1641

Mailing address

885 Westminster Rd
Wilkes Barre, PA 18702-9402
Phone (570) 561-9648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201013000727 PA Practitioner - Nurse Practitioner 6901226984 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020784PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blondek Center for Pediatric Health & Wellness PC PastSince Mar 26, 2023 Accepting new patients
Main Street Pediatrics of Greater Scranton PastSince Mar 26, 2023 Accepting new patients

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1164034856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WESTMINSTER RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187029402",
            "telephone_number": "570-561-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191641",
            "telephone_number": "570-344-9997",
            "fax_number": "570-344-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARI",
        "first_name": "KELSEY",
        "middle_name": "POWELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.