Individual provider Active NPI

Casey Lynn Schultz, PA-C

  • Physician Assistant
  • Mechanicsburg, PA
National Provider Identifier
1356606479
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055525 Issued in PA
Practice address
2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone
(717) 988-5864
Fax
(717) 221-5615
NPI assigned
Jul 5, 2012
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055525 PA
Physician Assistant 363A00000X MA055525 PA Primary

Addresses

Primary practice location

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423

Mailing address

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone (717) 988-5864

Other practice location 1

4310 Londonderry Rd Ste 106
Harrisburg, PA 17109-5333
Phone (717) 988-8210

Other practice location 2

11 Sprint Dr Ste A
Carlisle, PA 17015-7789
Phone (717) 218-1811

Other practice location 3

1251 E Main St Ste 3
Annville, PA 17003-1643
Phone (717) 988-0530

Other identifiers 1

IdentifierTypeStateIssuer
103177106MedicaidPA

Other names 1

  • Casey Lynn Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmiller6883@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130530000326 PA Practitioner - Physician Assistant 2264670496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772

2005 Technology Pkwy
Mechanicsburg, PA 17050-9413

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

4300 Londonderry Rd
Harrisburg, PA 17109-5317

4310 Londonderry Rd
Harrisburg, PA 17109-5333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055525PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2015 Accepting new patients
Pinnacle Health Medical Services Physician Assistant Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

11 Sprint Dr
Ste A
Carlisle, PA 17015
Phone (717) 218-1811

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4310 Londonderry Rd
Ste 106
Harrisburg, PA 17109
Phone (717) 724-6780

2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785

Interoperability endpoints

  • Direct secure messaging: cschultz302468@upmc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1356606479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 300",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509423",
            "telephone_number": "717-988-5864",
            "fax_number": "717-221-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 300",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509423",
            "telephone_number": "717-988-5864",
            "fax_number": "717-221-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 Londonderry Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095333",
            "country_code": "US",
            "telephone_number": "717-988-8210",
            "fax_number": "717-221-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Sprint Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157789",
            "country_code": "US",
            "telephone_number": "717-218-1811",
            "fax_number": "717-218-6786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-988-0530",
            "fax_number": "717-221-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055525",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103177106",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmiller6883@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.