Individual provider Active NPI

Michelle Maile McCaslin, APRN, NP-C

  • Family Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1164715355
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111242 Issued in NE
Practice address
10701 S 72ND St Ste 100
Suite 100
Papillion, NE 68046-3427
Phone
(402) 827-9421
Fax
(402) 999-8029
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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 111242 NE Primary

Addresses

Primary practice location

10701 S 72ND St Ste 100
Suite 100
Papillion, NE 68046-3427

Mailing address

10701 So. 72ND Street Suite 100
Suite 100
Papillion, NE 68046
Phone (402) 827-9421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2022 through Feb 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111242NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Organizations & group practices 1

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1164715355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 SO. 72ND STREET SUITE 100",
            "address_2": "SUITE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-827-9421",
            "fax_number": "402-999-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S 72ND ST STE 100",
            "address_2": "SUITE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463427",
            "telephone_number": "402-827-9421",
            "fax_number": "402-999-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLIN",
        "first_name": "MICHELLE",
        "middle_name": "MAILE",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.