Individual provider Active NPI

Casie Michelle Ramirez, PA-C

  • Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1538438239
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3019 Issued in TN
Practice address
353 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2329
Phone
(615) 822-8908
Fax
(615) 822-8909
NPI assigned
Dec 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Medical Physician Assistant 363AM0700X PA3019 TN
Surgical Physician Assistant 363AS0400X
Surgical Physician Assistant 363AS0400X 3019 TN
Physician Assistant 363A00000X 3019 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2329

Mailing address

393 Wallace Rd
Suite A202
Nashville, TN 37211-4880
Phone (615) 832-2200

Other practice location 1

393 Wallace Rd
Suite A202
Nashville, TN 37211-4880
Phone (615) 832-2200

Other identifiers 1

IdentifierTypeStateIssuer
Q025602MedicaidTN

Other names 1

  • Casie Michelle Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20161220002362 TN Practitioner - Physician Assistant 5395905236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEMPORARYTXMDHematology & Oncology Physician
3019TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices LLC CurrentSince Apr 1, 2019 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

353 New Shackle Island Rd
Ste 128B
Hendersonville, TN 37075
Phone (615) 822-8908

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1538438239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "SUITE A202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-832-2200",
            "fax_number": "615-832-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 128B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752329",
            "telephone_number": "615-822-8908",
            "fax_number": "615-822-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Wallace Rd",
            "address_2": "Suite A202",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114880",
            "country_code": "US",
            "telephone_number": "615-832-2200",
            "fax_number": "615-832-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "CASIE",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA3019",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "3019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASIE",
            "last_name": "SANDERS",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.