Individual provider Active NPI

Casey Marie Schuetzle

  • Family Nurse Practitioner
  • McKinleyville, CA
National Provider Identifier
1376481770
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95226055 Issued in CA
Practice address
3103 Concorde Dr
McKinleyville, CA 95519-9305
Phone
(707) 822-3376
NPI assigned
Mar 24, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 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 95226055 CA Primary

Addresses

Primary practice location

3103 Concorde Dr
McKinleyville, CA 95519-9305

Mailing address

1945 Park St
Arcata, CA 95521-9650
Phone (707) 599-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260526000551 CA Practitioner - Nurse Practitioner 9234609876

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1575 S Railroad Ave
Crescent City, CA 95531-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95226055CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Dermatology a Medical Corporation CurrentSince Jul 1, 2026 Accepting new patients

Locations

3103 Concorde Dr
McKinleyville, CA 95519
Phone (707) 822-3376

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1376481770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 PARK ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955219650",
            "telephone_number": "707-599-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CONCORDE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199305",
            "telephone_number": "707-822-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETZLE",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95226055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

Verify at the official NPI Registry.