Brooke Ann Casey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053188 Issued in PA

Practice address

150 Mundy St
Wilkes Barre, PA 18702-6830

Phone

(570) 829-0031

Fax

(570) 802-0104

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermdox WB PCGroup PAC ID 6002339025, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermdox WB PC

  • Dermatology Physician
  • Wilkes Barre, PA
  • NPI 1497550123
  Medicare reassignment Care Compare group
• Christopher a. Snyder DO PC

  dba Dermatology Centers of Nepa

  • Dermatology Physician
  • Berwick, PA
  • NPI 1861687758
  Medicare reassignment
• United Health and Hospital Services, Inc.

  dba Wyoming Valley Family Practice Residency Program

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1316978885
  NPD (past)
• Wilkes-Barre Academic Medicine LLC

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1669613063
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1407044803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MUNDY STREET",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026830",
            "telephone_number": "570-829-0031",
            "fax_number": "570-802-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUNDY ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026830",
            "telephone_number": "570-829-0031",
            "fax_number": "570-802-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 W Front St",
            "address_purpose": "LOCATION",
            "city": "Berwick",
            "state": "PA",
            "postal_code": "186034525",
            "country_code": "US",
            "telephone_number": "570-802-0102",
            "fax_number": "570-802-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA006611",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Carroll, CRNP
• Lisa Mae Caruthers, LSW
• Alfred S. Casale, M.D.
• Mia Rose Casale, PA-C
• Casey Recovery LLC
• Eileen Casey, PA-C
• Kelli Ann Casey, RN
• Mitchell Casey
• Cash Harrison Enterprises LLC
• Hans P. Cassagnol, M.D.

• Medical Physician Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.