Active NPI
Casey D. Bolick, CRNA
- Certified Registered Nurse Anesthetist
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 165268
- Practice address
- 415 N Center St
Ste 201
Hickory, NC 28601-5036 - Phone
- (828) 327-8105
- Fax
- (828) 327-4245
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 165268 | NC | Primary |
Addresses
Primary practice location
415 N Center St
Ste 201
Hickory, NC 28601-5036
Mailing address
415 N Center St
Ste 201
Hickory, NC 28601-5036
Phone (828) 327-8105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052048 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040708000335 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345228227 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catawba Valley Medical Center
Practice addresses (Care Compare)
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Hospital & facility affiliations
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165268 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| CMC-Northeast, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Carolina Digestive Health Associates, PA | Past | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients |
Locations
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
NC, Nurse Anesthetist, Certified Registered
-
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1275585150
-
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Psychiatry Physician
- Hickory, NC
- NPI 1497792469
-
- Diagnostic Radiology Physician
- Hickory, NC
- NPI 1689611220
-
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1689628794
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Registered Nurse
- Hickory, NC
- NPI 1598863433
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1063584415
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1023105905
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Concord, NC
- NPI 1265754915
Hospital & facility affiliations 1
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": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225008451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CENTER ST",
"address_2": "STE 201",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015036",
"telephone_number": "828-327-8105",
"fax_number": "828-327-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CENTER ST",
"address_2": "STE 201",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015036",
"telephone_number": "828-327-8105",
"fax_number": "828-327-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLICK",
"first_name": "CASEY",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "165268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052048",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.