Individual provider Active NPI

Heather Kerle Casalicchio, PA

  • Physician Assistant
  • Bluffton, SC
National Provider Identifier
1467838979
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2949 Issued in SC
Practice address
350 Fording Island Rd Ste 100
Bluffton, SC 29910
Phone
(843) 837-4400
Fax
(843) 837-4440
NPI assigned
Aug 6, 2015
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2949 SC Primary
Dermatology Physician 207N00000X MA057573 PA

Addresses

Primary practice location

350 Fording Island Rd Ste 100
Bluffton, SC 29910

Mailing address

PO Box 2330
Bluffton, SC 29910-2330
Phone (843) 837-4400

Other practice location 1

1813 Richmond Ave
Port Royal, SC 29935-2014
Phone (843) 837-4400

Other practice location 2

11 Arley Way Ste 102
Bluffton, SC 29910-4883
Phone (843) 837-4400

Other practice location 3

7 Arley Way Ste 200
Bluffton, SC 29910-4302
Phone (843) 837-4400

Other practice location 4

7 Arley Way Ste 101
Bluffton, SC 29910-4301
Phone (843) 837-4400

Other practice location 5

25 Hospital Center Cmns Ste 200
Hilton Head Island, SC 29926-2841
Phone (843) 837-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180427000000 SC Practitioner - Physician Assistant 5991011306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
May River DermatologyGroup PAC ID 8022156934, 20 clinicians

Practice addresses (Care Compare)

350 Fording Island Rd
Suite 100
Bluffton, SC 29910-5168
Phone (843) 837-4400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA057573PAMDDermatology Physician
2949SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Beaufort Eye Center P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.casalicchio@mrdl.eclinicaldirectplus.com

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, 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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1467838979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2330",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102330",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FORDING ISLAND RD STE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299352014",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Arley Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104883",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Arley Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104302",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Arley Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104301",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Cmns Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262841",
            "country_code": "US",
            "telephone_number": "843-837-4400",
            "fax_number": "843-837-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASALICCHIO",
        "first_name": "HEATHER",
        "middle_name": "KERLE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2949",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MA057573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.