Individual provider Active NPI

Casey Wollenman

  • Student in an Organized Health Care Education/Training Program
  • Dallas, TX
National Provider Identifier
1609254523
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
MD470329 Issued in TX
Practice address
3235 Harry Hines Blvd
Suite 200, C-Wing
Dallas, TX 75390-3552
Phone
(214) 590-8000
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD470329 TX Primary

Addresses

Primary practice location

3235 Harry Hines Blvd
Suite 200, C-Wing
Dallas, TX 75390-3552

Mailing address

3235 Harry Hines Blvd
Suite 200, C-Wing
Dallas, TX 75390-3552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address casey.s.wollenman@upmcdirect.com UPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630000251 PA Practitioner - Anesthesiology 9931431442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1 Saint Francis Way
Cranberry Township, PA 16066-5119
Phone (412) 665-8030

1 St Francis Way
Upmc Passavant Cranberry
Cranberry Township, PA 16066-5119
Phone (724) 772-5960

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

One St Francis Way
Suite 206
Cranberry, PA 16066-5119
Phone (724) 720-5991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD470329TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Organizations & group practices 3

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 4

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1609254523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 HARRY HINES BLVD",
            "address_2": "SUITE 200, C-WING",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753903552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 HARRY HINES BLVD",
            "address_2": "SUITE 200, C-WING",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753903552",
            "telephone_number": "214-590-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLENMAN",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "MD470329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casey.s.wollenman@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.