Individual provider Active NPI

Casey Paulin, FNP-C

  • Family Nurse Practitioner
  • Benbrook, TX
National Provider Identifier
1659154508
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131802 Issued in TX
Practice address
371 Mercedes St
Benbrook, TX 76126-1506
Phone
(817) 526-5509
NPI assigned
Aug 15, 2023
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1131802 TX Primary

Addresses

Primary practice location

371 Mercedes St
Benbrook, TX 76126-1506

Mailing address

2113 Vanderbilt Dr
Weatherford, TX 76088-1506
Phone (979) 492-0965

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231113001186 TX Practitioner - Nurse Practitioner 5991152936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1131802TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Nov 1, 2023 Accepting new patients
DCS Medical PA CurrentSince Nov 1, 2023 Accepting new patients

Locations

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

371 Mercedes St
Benbrook, TX 76126
Phone (817) 448-8114

2608 Highway 36 S
Brenham, TX 77833
Phone (979) 451-6000

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

607 E Malloy Bridge Rd
Seagoville, TX 75159
Phone (469) 908-5018

Organizations & group practices 2

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1659154508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 VANDERBILT DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760881506",
            "telephone_number": "979-492-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761261506",
            "telephone_number": "817-526-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULIN",
        "first_name": "CASEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1131802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.