Individual provider Active NPI

Casey Brown, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NY
National Provider Identifier
1255964268
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402915 Issued in NY
Practice address
305 E Fairmount Ave
Lakewood, NY 14750-2000
Phone
(716) 526-4041
NPI assigned
Feb 18, 2020
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402915 NY Primary

Addresses

Primary practice location

305 E Fairmount Ave
Lakewood, NY 14750-2000

Mailing address

305 E Fairmount Ave
Lakewood, NY 14750-2000
Phone (716) 526-4041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbrown1040766@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200601001631 NY Practitioner - Nurse Practitioner 2466873336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

51 Glasgow Ave
Jamestown, NY 14701-6440
Phone (716) 664-8641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca Single Specialty CurrentSince Apr 3, 2020 Accepting new patients
Chautauqua County Chapter of Nysarc Inc CurrentSince May 6, 2020 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Apr 3, 2020 Accepting new patients
Chautauqua County Chapter of Nysarc Inc Single Specialty CurrentSince May 6, 2020 Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center Single Specialty Current Accepting new patients
Jamestown Psychiatric PC PastSince May 7, 2023 Accepting new patients

Locations

186 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6125

200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

51 Glasgow Ave
Jamestown, NY 14701
Phone (716) 487-0141

880 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1400

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

Interoperability endpoints

  • Direct secure messaging: casey.brown@resourcecenter.cernerdirect.com

Organizations & group practices 7

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1255964268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E FAIRMOUNT AVE",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147502000",
            "telephone_number": "716-526-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E FAIRMOUNT AVE",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147502000",
            "telephone_number": "716-526-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-12-02",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrown1040766@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NY

Sources for this page

Verify at the official NPI Registry.