Individual provider Active NPI

Casey T. Nester, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1578816575
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22809 Issued in MS
Practice address
3964 Goodman Rd E Ste 128-129
Southaven, MS 38672-8761
Phone
(662) 655-0456
Fax
(662) 655-0457
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R883264 MS
Family Nurse Practitioner 363LF0000X 22809 MS Primary

Addresses

Primary practice location

3964 Goodman Rd E Ste 128-129
Southaven, MS 38672-8761

Mailing address

3964 Goodman Rd E Ste 128-129
Southaven, MS 38672-8761
Phone (662) 655-0456

Other identifiers 1

IdentifierTypeStateIssuer
003583769MedicaidMS

Other names 1

  • Casey L Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20130910000462 MS Practitioner - Nurse Practitioner 2860636016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mays Medical Wellness LLCGroup PAC ID 6406113299, 2 clinicians

Practice addresses (Care Compare)

3964 Goodman Rd E
Suite 128
Southaven, MS 38672-6494
Phone (662) 655-0456

Hospital & facility affiliations

  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22809MSMDFamily Nurse Practitioner

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 2

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1578816575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 128-129",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "662-655-0456",
            "fax_number": "662-655-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 128-129",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "662-655-0456",
            "fax_number": "662-655-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTER",
        "first_name": "CASEY",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R883264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "22809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003583769",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "TURNER",
            "middle_name": "L",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.