NPIMap

Individual provider Active NPI

Sandi Lynn Casey, APRN

  • Family Nurse Practitioner
  • Tahlequah, OK
National Provider Identifier
1356791891
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77987 Issued in OK
Practice address
1500 E Downing St Ste 101
Tahlequah, OK 74464-3354
Phone
(918) 708-3570
Fax
(918) 453-2772
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 77987 OK Primary

Addresses

Primary practice location

1500 E Downing St Ste 101
Tahlequah, OK 74464-3354

Mailing address

2028 Mahaney Ave
Tahlequah, OK 74464-5783
Phone (918) 456-0001

Other practice location 1

2028 Mahaney Ave
Tahlequah, OK 74464-5783
Phone (918) 456-0001

Other identifiers 1

IdentifierTypeStateIssuer
200666850AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921002738 OK Practitioner - Nurse Practitioner 7214224096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Oklahoma Community Health Centers, IncGroup PAC ID 3678482635, 38 clinicians

Practice addresses (Care Compare)

1500 E Downing St
101 Tahlequah Family Practice
Tahlequah, OK 74464-3234
Phone (918) 708-3570

Hospital & facility affiliations

  • Cherokee Nation Home Health Services, Inc. Home health agency, Tahlequah, OK, CCN 377173
  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77987OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Aug 20, 2018 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Aug 20, 2018 Accepting new patients
Northeastern Health System Past Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Past Accepting new patients
Northeastern Health System Past Accepting new patients

Locations

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

1500 E Downing St
Ste 101
Tahlequah, OK 74464
Phone (918) 456-2549

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1356791891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 MAHANEY AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645783",
            "telephone_number": "918-456-0001",
            "fax_number": "918-456-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DOWNING ST STE 101",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643354",
            "telephone_number": "918-708-3570",
            "fax_number": "918-453-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 Mahaney Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744645783",
            "country_code": "US",
            "telephone_number": "918-456-0001",
            "fax_number": "918-456-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "SANDI",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200666850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.