Individual provider Active NPI

Deborah L Casson, NPP CS MS APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Penn Yan, NY
National Provider Identifier
1699877209
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400234-1 Issued in NY
Practice address
1 Keuka Business Park
Penn Yan, NY 14527
Phone
(315) 536-6913
Fax
(315) 536-7258
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400234-1 NY Primary

Addresses

Primary practice location

1 Keuka Business Park
Penn Yan, NY 14527

Mailing address

2075 Scottsville Rd
Rochester, NY 14623-2021
Phone (315) 536-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040218000131 NY Practitioner - Nurse Practitioner 9830084920 Practice locations: Penn Yan, NY; Canandaigua, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4074 Shoalwater PT
Canandaigua, NY 14424-9700
Phone (585) 789-0221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400234-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Childrens Center Past Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients
Narco Freedom Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1699877209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232021",
            "telephone_number": "315-536-6913",
            "fax_number": "315-536-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEUKA BUSINESS PARK",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-536-6913",
            "fax_number": "315-536-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSON",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "NPP CS MS APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400234-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.