NPIMap

Individual provider Active NPI

Adam Casey, PA

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1548735673
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006708 Issued in IN
Practice address
5560 Kietzke LN BLDG a
Reno, NV 89511
Phone
(775) 322-7811
Fax
(775) 334-4191
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 085006708 IN Primary

Addresses

Primary practice location

5560 Kietzke LN BLDG a
Reno, NV 89511

Mailing address

5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Other practice location 1

4700 Gilbert Ave Ste 51
Western Springs, IL 60558-1664
Phone (708) 387-1739

Other practice location 2

4700 Gilbert Ave Ste 51
Western Springs, IL 60558-1664
Phone (708) 387-1739

Other identifiers 1

IdentifierTypeStateIssuer
085006708OtherILIL PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000785 NV Practitioner - Physician Assistant 7517210123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
85.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085006708INMDPhysician Assistant

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 11

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1548735673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811",
            "fax_number": "775-334-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-334-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Gilbert Ave Ste 51",
            "address_purpose": "LOCATION",
            "city": "Western Springs",
            "state": "IL",
            "postal_code": "605581664",
            "country_code": "US",
            "telephone_number": "708-387-1739",
            "fax_number": "630-794-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Gilbert Ave Ste 51",
            "address_purpose": "LOCATION",
            "city": "Western Springs",
            "state": "IL",
            "postal_code": "605581664",
            "country_code": "US",
            "telephone_number": "708-387-1739",
            "fax_number": "630-794-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "ADAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "085006708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PHYSICIAN ASSISTANT LICENSE",
            "identifier": "085006708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.