Individual provider Active NPI

Casey Ploof

  • Family Nurse Practitioner
  • Juneau, AK
National Provider Identifier
1255871034
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
119901 Issued in AK
Practice address
1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone
(907) 586-2434
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 119901 AK Primary

Addresses

Primary practice location

1801 Salmon Creek LN
Juneau, AK 99801-7864

Mailing address

1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone (907) 586-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, GA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170329002151 AK Practitioner - Nurse Practitioner 6305121617 Reassigns benefits to 2 organizations
I20190812003086 TX Practitioner - Nurse Practitioner 6305121617 Reassigns benefits to 1 organization
I20241016001848 GA Practitioner - Nurse Practitioner 6305121617
I20241028002095 TN Practitioner - Nurse Practitioner 6305121617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119901AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 18, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 18, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 29, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Valley Medical Care PC CurrentSince Mar 6, 2017 Accepting new patients
Juneau Emergency Medical Associates, Inc. CurrentSince Jun 4, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC Past Accepting new patients

Locations

1801 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-2434

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: casey.ploof.1@14940.direct.athenahealth.com
  • Direct secure messaging: caseyp@direct-searhc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1255871034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOOF",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "119901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.