Individual provider Active NPI

Casey R Sansom, PA-C

  • Physician Assistant
  • Grove City, PA
National Provider Identifier
1659448215
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052529 Issued in PA
Practice address
420 Hillcrest Ave
Grove City, PA 16127-1708
Phone
(724) 458-4950
Fax
(724) 458-4822
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA000909 PA
Medical Physician Assistant 363AM0700X MA052529 PA
Surgical Physician Assistant 363AS0400X MA052529 PA
Physician Assistant 363A00000X MA052529 PA Primary

Addresses

Primary practice location

420 Hillcrest Ave
Grove City, PA 16127-1708

Mailing address

420 Hillcrest Ave
Grove City, PA 16127-1708
Phone (724) 458-4950

Other practice location 1

3120 Highland Rd
Hermitage, PA 16148-4512
Phone (724) 342-2663

Other identifiers 1

IdentifierTypeStateIssuer
103205962MedicaidPA

Other names 1

  • Casey R Hanna Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address casey.r.sansom@upmcdirect.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000118 PA Practitioner - Physician Assistant 8426035932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

449 N Hermitage Rd
Hermitage, PA 16148-3342

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 19, 2021 Accepting new patients
Upmc Community Medicine Inc CurrentSince Apr 20, 2015 Accepting new patients
Upmc Community Medcine Inc CurrentSince Apr 20, 2015 Accepting new patients
Allegheny Clinic CurrentSince Jan 19, 2021 Accepting new patients

Locations

420 Hillcrest Ave
Grove City, PA 16127
Phone (412) 828-5250

647 N Broad Street Ext
Ste 201
Grove City, PA 16127
Phone (724) 264-4190

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

420 E North Ave
Ste 302
Pittsburgh, PA 15212
Phone (412) 847-2626

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3742 State Route 257
Seneca, PA 16346
Phone (814) 677-0041

Organizations & group practices 6

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1659448215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HILLCREST AVE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271708",
            "telephone_number": "724-458-4950",
            "fax_number": "724-458-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HILLCREST AVE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271708",
            "telephone_number": "724-458-4950",
            "fax_number": "724-458-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161484512",
            "country_code": "US",
            "telephone_number": "724-342-2663",
            "fax_number": "724-342-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSOM",
        "first_name": "CASEY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-01-25",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000909",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052529",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052529",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103205962",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casey.r.sansom@upmcdirect.com",
            "affiliation": "N",
            "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": [
        {
            "first_name": "CASEY",
            "last_name": "HANNA",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.