Individual provider Active NPI

James Daniel Casey Jr., CNP

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1669896783
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
15112 Issued in OH
Practice address
1550 Goodman Ave
Cincinnati, OH 45224-1005
Phone
(720) 631-2100
NPI assigned
Feb 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15112 OH
Primary Care Nurse Practitioner 363LP2300X 15112 OH Primary

Addresses

Primary practice location

1550 Goodman Ave
Cincinnati, OH 45224-1005

Mailing address

2000 16TH St
Denver, CO 80202-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, TX, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180329001570 OH Practitioner - Nurse Practitioner 5193957827 Reassigns benefits to 2 organizations
I20240320000192 NY Practitioner - Nurse Practitioner 5193957827 Reassigns benefits to 1 organization
I20240321001819 TX Practitioner - Nurse Practitioner 5193957827 Reassigns benefits to 1 organization
I20250512003259 CO Practitioner - Nurse Practitioner 5193957827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339717NYMDLicensed Practical Nurse
15112OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Aug 16, 2023 Accepting new patients
Vpa PC Current Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

209 W County Line Rd
Highlands Ranch, CO 80129
Phone (303) 730-6164

3525 White Plains Rd
Bronx, NY 10467

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

1382 Lomaland Dr
Ste B
El Paso, TX 79935
Phone (720) 631-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1669896783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 GOODMAN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241005",
            "telephone_number": "720-631-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "15112",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "15112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.