Casey Alan Graybill, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024178795 Issued in VA

Practice address

3700 S Main St
Blacksburg, VA 24060-7017

Phone

(540) 951-1111

Fax

(540) 953-5295

NPI assigned

Oct 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kingsford Emergency Group, LLCGroup PAC ID 3870841117, 14 clinicians

Wildwood Emergency Group, LLCGroup PAC ID 4789932385, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kingsford Emergency Group, LLC

  • Emergency Medicine Physician
  • Pulaski, VA
  • NPI 1336631480
  Medicare reassignment Care Compare group NPD
• Wildwood Emergency Group, LLC

  • Emergency Medicine Physician
  • Blacksburg, VA
  • NPI 1013409721
  Medicare reassignment Care Compare group NPD
• Reston Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1235307034
  Medicare reassignment NPD

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1265075642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "CASEY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001263149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Faith Goodrum, FNP-C
• Gowen Eye, LLC
• Richard G Graham, LPC, CSAC
• Katherine Carter Gray, LPC
• Sierra Harvest Gray
• Hayley Graybill, FNP-C
• Elizabeth R Green, LCSW, LMSW, QMHP-C
• Rachel Alice Greene, M.S. CCC-SLP
• John Marshall Gregg, DDS
• Brett Griesemer, MAED, ATC

• Family Nurse Practitioner in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.