Active NPI
Colleen Louise Casey, M.D.
- Reproductive Endocrinology Physician
- Minneapolis, MN
National Provider Identifier
1386653699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 50783
- Practice address
- 2828 Chicago Ave. So.
Suite 400
Minneapolis, MN 55407-1320 - Phone
- (612) 863-5390
- Fax
- (612) 863-2697
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 50783 | MN | Primary |
Addresses
Primary practice location
2828 Chicago Ave. So.
Suite 400
Minneapolis, MN 55407-1320
Mailing address
2943 Jonquil TRL N
Lake Elmo, MN 55042-8478
Phone (651) 207-6003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011716 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50783 | MN | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Reproductive Technologies PA | Reproductive Endocrinology | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Center for Reproductive Medicine PA | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Reproductive Endocrinology Physician
- Minneapolis, MN
- NPI 1275542573
-
- Reproductive Endocrinology Physician
- Minneapolis, MN
- NPI 1730113630
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1386653699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2943 JONQUIL TRL N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550428478",
"telephone_number": "651-207-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVE. SO.",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071320",
"telephone_number": "612-863-5390",
"fax_number": "612-863-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "COLLEEN",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "50783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011716",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.