Casie A Anderson, APRN
Individual provider Active NPI Family Nurse Practitioner · Lima, OH
NPI 1487360947 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1487360947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0033135 (OH)
- Practice address
- 2770 E Breese Rd
Lima, OH 45806-9743 - Phone
- (419) 812-2915
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230224002309 | OH | Practitioner - Nurse Practitioner | 7113390998 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0033135 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Partners of Western Ohio | Current | Accepting new patients | |
| Health Partners of Western Ohio | Current |
Accepting new patients | |
| Health Partners of Western Ohio | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Health Partners of Western Ohio | Past | Accepting new patients |
Locations
9105 Harding Hwy
Rm K129
Harrod, OH 45850
Phone (419) 224-4250
631 Wildcat Way
Kenton, OH 43326
Phone (419) 673-7248
200 Harding Ave
Kenton, OH 43326
Phone (419) 673-1286
1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546
2770 E Breese Rd
Lima, OH 45806
Phone (419) 221-2770
329 N West St
Lima, OH 45801
Phone (419) 229-6007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0033135 | OH | Yes |
Addresses
Primary practice location
2770 E Breese Rd
Lima, OH 45806-9743
Mailing address
329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072
NPI Registry JSON
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1487360947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 N WEST ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014331",
"telephone_number": "419-221-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 E BREESE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458069743",
"telephone_number": "419-812-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CASIE",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0033135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
- Universal Amponsah-Ntsiful
- Bethany Renee Amstutz
- Eric W. Amstutz
- Krista Amstutz
- Devaki Anatha Ganesh
- Hillary Anderson
- Kyle Anderson
- Mary Anderson
- Tamicha Louette Anderson
- Matthew Andrien
All providers in Lima, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.