Active NPI
Erika L Caserta, P.A.C.
- Physician Assistant
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07096
- Practice address
- 1450 Matthews Township Pkwy Ste 380
Matthews, NC 28105-2389 - Phone
- (704) 384-9200
- Fax
- (704) 384-6588
- NPI assigned
- Jan 12, 2007
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07096 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 0010-07096 | NC | |
| Medical Physician Assistant | 363AM0700X | PA9103172 | FL |
Addresses
Primary practice location
1450 Matthews Township Pkwy Ste 380
Matthews, NC 28105-2389
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558411348 | Medicaid | NC |
Other names 1
- Mrs. Erika L Fauci
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ECASERTA438249@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500
1969 Wellness Blvd
Monroe, NC 28110-7763
Phone (704) 316-5775
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 894-4000
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07096 | NC | MD | Physician Assistant |
| PA9103172 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Mema SC LLC | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- ecaserta2974464@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1073562757
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Pain Management - Asheboro
- Pain Medicine Physician
- Asheboro, NC
- NPI 1639962566
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1407675176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1558411348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 380",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052389",
"telephone_number": "704-384-9200",
"fax_number": "704-384-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASERTA",
"first_name": "ERIKA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07096",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-07096",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103172",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558411348",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ECASERTA438249@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "1450 Matthews Township Pkwy Ste 380",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281052389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "FAUCI",
"middle_name": "L",
"prefix": "MRS.",
"credential": "PHYSICIAN ASSISTANT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.