Individual provider Active NPI

Rachel Elizabeth Casali, FNP-BC

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1417526526
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704324528 Issued in MI
Practice address
22014 Rivanna Dr
Macomb, MI 48044-4446
Phone
(586) 549-9521
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 4704324528 MI Primary

Addresses

Primary practice location

22014 Rivanna Dr
Macomb, MI 48044-4446

Mailing address

22014 Rivanna Dr
Macomb, MI 48044-4446
Phone (586) 549-9521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220630000818 MI Practitioner - Nurse Practitioner 3870973399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Michigan, P.C.Group PAC ID 1052380219, 10 clinicians

Practice addresses (Care Compare)

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4989
Phone (586) 776-8877

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
87.87
Promoting interoperability
100
Improvement activities
40
Cost
80.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704324528MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Michigan, P.C. CurrentSince Mar 29, 2022 Accepting new patients
Preventive Cardiovascular Institute PLLC PastSince Mar 29, 2022 Accepting new patients

Locations

18303 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 776-8877

Interoperability endpoints

  • Direct secure messaging: rcavanaugh426912@direct.hfhs.org

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1417526526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22014 RIVANNA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444446",
            "telephone_number": "586-549-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22014 RIVANNA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444446",
            "telephone_number": "586-549-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASALI",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704324528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.