Individual provider Active NPI

Casey Delacy

  • Primary Care Nurse Practitioner
  • Chester, PA
National Provider Identifier
1508218546
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP016219 Issued in PA
Practice address
2507 Chestnut St
Chester, PA 19013-4841
Phone
(267) 512-0422
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP016219 PA Primary

Addresses

Primary practice location

2507 Chestnut St
Chester, PA 19013-4841

Mailing address

119 9TH Ave
Folsom, PA 19033-2008
Phone (610) 952-6882

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171031002789 PA Practitioner - Nurse Practitioner 5991085409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Long Term Medical Care of Pennsylvania PLLC Primary Care CurrentSince Jan 1, 2023 Accepting new patients

Locations

2507 Chestnut St
Chester, PA 19013
Phone (610) 872-5373

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.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1508218546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 9TH AVE",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190332008",
            "telephone_number": "610-952-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHESTNUT ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134841",
            "telephone_number": "267-512-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACY",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.