Individual provider Active NPI

Casey Jo Odom, FNP-BC

  • Family Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1376243022
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186849 Issued in VA
Practice address
13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698
Phone
(571) 248-4620
Fax
(571) 248-4374
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 0024186849 VA Primary

Addresses

Primary practice location

13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230530002450 VA Practitioner - Nurse Practitioner 3173980570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

10945 George Mason Cir
Suite 105
Manassas, VA 20110-2233
Phone (703) 361-5116

13575 Heathcote Blvd
Suite 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince May 31, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince May 31, 2023 Accepting new patients
Inova Physician Partners, LLC CurrentSince Feb 16, 2026 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

13575 Heathcote Blvd
Ste 210
Gainesville, VA 20155
Phone (571) 248-4620

10945 George Mason Cir
Ste 105
Manassas, VA 20110
Phone (703) 361-5116

10945 George Mason Cir
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: codom560294@direct.healthsystem.virginia.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1376243022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556698",
            "telephone_number": "571-248-4620",
            "fax_number": "571-248-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "CASEY",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.