Individual provider Active NPI

Casie Wiley, MD, MPH

  • Family Medicine Physician
  • Newport, KY
National Provider Identifier
1235617275
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55416 Issued in KY
Practice address
200 West 3Rd Street
Newport, KY 41071-1814
Phone
(859) 578-5662
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55416 KY Primary

Addresses

Primary practice location

200 West 3Rd Street
Newport, KY 41071-1814

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other practice location 1

1119 Fairfield Avenue
Bellevue, KY 41073-1184
Phone (859) 431-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NH2 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
I20210813000783 KY Practitioner - Family Practice 0446654354 Reassigns benefits to 1 organization
I20250807003557 NH Practitioner - Family Practice 0446654354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

4 Crescent St
Penacook, NH 03303-1412
Phone (603) 753-4302

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Summit Medical Group, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Sep 1, 2025 Accepting new patients

Locations

119 Fairfield Ave
Bellevue, KY 41073
Phone (859) 431-0090

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

200 W 3rd St
Newport, KY 41071
Phone (859) 212-0175

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

4 Crescent St
Penacook, NH 03303
Phone (603) 753-4302

Interoperability endpoints

  • Direct secure messaging: cwiley229430@direct-prd.stelizabeth.com

Organizations & group practices 5

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.

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1235617275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST 3RD STREET",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711814",
            "telephone_number": "859-578-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Fairfield Avenue",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "KY",
            "postal_code": "410731184",
            "country_code": "US",
            "telephone_number": "859-431-0090",
            "fax_number": "859-431-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "CASIE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "55416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.