Individual provider Active NPI

Lisa M. Casey, DO

  • Family Medicine Physician
  • Glendale, WI
National Provider Identifier
1215909791
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81494-21 Issued in WI
Practice address
2400 W Villard Ave
Glendale, WI 53209-4901
Phone
(414) 527-8191
NPI assigned
Feb 7, 2006
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.007011 OH
Family Medicine Physician 207Q00000X 81494-21 WI Primary
Family Medicine Physician 207Q00000X 72480 MN
Family Medicine Physician 207Q00000X OS014887 PA

Addresses

Primary practice location

2400 W Villard Ave
Glendale, WI 53209-4901

Mailing address

2400 W Villard Ave
Glendale, WI 53209-4901
Phone (414) 527-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040803001363 OH Practitioner - Family Practice 3971574948
I20240805003820 WI Practitioner - Family Practice 3971574948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 E N Ave
Milwaukee, WI 53212-3515
Phone (414) 267-6500

2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone (414) 527-5630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
72480MNMDFamily Medicine Physician
81494-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine CurrentSince Jul 23, 2025 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jul 23, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine Past Accepting new patients
North Coast Professional Company, LLC Family Medicine PastSince Aug 28, 2022 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000

1121 E North Ave
Milwaukee, WI 53212
Phone (414) 267-6500

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1215909791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.007011",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "81494-21",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "72480",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.