Mary Casebolt, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2009038257 Issued in MO

Practice address

299 George Strake Blvd
Ste B
Conroe, TX 77304-2844

Phone

(936) 523-4200

Fax

(936) 523-4205

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJAAAA

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.

• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD
• Pallicare, Inc

  • Community Health Nurse Practitioner
  • Texarkana, TX
  • NPI 1316511884
  Medicare reassignment NPD
• Prime Medic, P.a.

  • Internal Medicine Physician
  • Cleveland, TX
  • NPI 1255432829
  Medicare reassignment NPD
• Prime Medic Network, PLLC

  dba Prime Medic Urgent Care

  • Clinic/Center
  • Cleveland, TX
  • NPI 1114477445
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1588933774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 GEORGE STRAKE BLVD",
            "address_2": "STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042844",
            "telephone_number": "936-523-4200",
            "fax_number": "936-523-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 GEORGE STRAKE BLVD",
            "address_2": "STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042844",
            "telephone_number": "936-523-4200",
            "fax_number": "936-523-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEBOLT",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2009038257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "845363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Carrillo
• Donnell Kajaun Carson, PA-C
• Lillian Carson
• Robin Carter
• Sherletta Latecia Carter, MSW, LCSW
• Madeline Grace Snell Casey, OTD, OTR
• Robert Greyson Cashion
• Sara Danielle Casiday, MS, CCC-SLP
• Timothy Casperson, DPM
• Kendra Lynn Castillo, LVN

• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.