Casey Wilson, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN30119 Issued in TN

Practice address

170 Beech St Ste 1
Harrogate, TN 37752-8251

Phone

(865) 579-6756

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medical Clinic of Harrogate, P.C.Group PAC ID 5395807010, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
• Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFBGBA
• FHIR API: https://fhir4.healow.com/fhir/r4/FFBGBA/Endpoint/FFBGBA

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.

• Family Medical Clinic of Harrogate, P.C.

  • Family Medicine Physician
  • Harrogate, TN
  • NPI 1417107210
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Middlesboro, KY
  • NPI 1891792495
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1932415882

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1346917978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BEECH ST STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528251",
            "telephone_number": "865-579-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BEECH ST STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528251",
            "telephone_number": "865-579-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CASEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN30119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gage Hunter Cas Weddington
• Abby Michelle Wedolowski
• Brooke Williams, PTA
• Jerod K Williams
• Ashley N Wilson, NURSE PRACTITIONER
• Lauren Kristine Wilson, DPT
• Alec Wiscombe
• Daniel Raymond Wood
• Katelyn Woods, PA-C
• Gretchen Worthington

• Nurse Practitioner in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.