Individual provider Active NPI

Casey Christina Stockel, PA

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1609523042
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61351 Issued in CA
Practice address
5400 Ralston St
Ventura, CA 93003-6002
Phone
(888) 898-3806
NPI assigned
Mar 6, 2022
Last updated
Dec 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61351 CA Primary

Addresses

Primary practice location

5400 Ralston St
Ventura, CA 93003-6002

Mailing address

5400 Ralston St
Ventura, CA 93003-6002
Phone (888) 898-3806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230710001544 CA Order and Referring Only - Physician Assistant 9436518347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61351CAMDGeneral Practice Dentistry
PA61351CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood California Central Coast Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: casey.stockel.p1@direct.ppcacentralcoast.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1609523042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 RALSTON ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036002",
            "telephone_number": "888-898-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 RALSTON ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036002",
            "telephone_number": "888-898-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKEL",
        "first_name": "CASEY",
        "middle_name": "CHRISTINA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.