Individual provider Active NPI

Casey Dashiell Willaford, PA-C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1497107650
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005422 Issued in VA
Practice address
713 Volvo Pkwy Ste 200
Chesapeake, VA 23320-1614
Phone
(757) 282-4150
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005422 VA Primary

Addresses

Primary practice location

713 Volvo Pkwy Ste 200
Chesapeake, VA 23320-1614

Mailing address

713 Volvo Pkwy Ste 200
Chesapeake, VA 23320-1614
Phone (757) 282-4150

Other practice location 1

300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985
Phone (757) 252-5660

Other names 1

  • Casey Lauren Dashiell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161017002226 VA Practitioner - Physician Assistant 9032407549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904

713 Volvo Pksy
Ste. 200
Chesapeake, VA 23320-1614
Phone (757) 282-4150

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Aug 22, 2016 Accepting new patients

Locations

300 Medical Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 252-5660

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 282-4150

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

2790 Godwin Blvd
Ste 100
Suffolk, VA 23434
Phone (757) 252-9365

400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300

Interoperability endpoints

  • Direct secure messaging: cdashiell66556@direct.sentara.net

Organizations & group practices 1

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 4

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1497107650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 VOLVO PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201614",
            "telephone_number": "757-282-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 VOLVO PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201614",
            "telephone_number": "757-282-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-252-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLAFORD",
        "first_name": "CASEY",
        "middle_name": "DASHIELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "DASHIELL",
            "middle_name": "LAUREN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.