Individual provider Active NPI

Erika L Caserta, P.A.C.

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1558411348
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07096 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1558411348MedicaidNC

Other names 1

  • Mrs. Erika L Fauci Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621000874 NC Practitioner - Physician Assistant 2062514615 Reassigns benefits to 3 organizations

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
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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

LicenseStateTypeSpecialty
0010-07096NCMDPhysician Assistant
PA9103172FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 26, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 26, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Mema SC LLC PastSince Oct 13, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.