Active NPI
Deborah L Casson, NPP CS MS APRN
- Psychiatric/Mental Health Nurse Practitioner
- Penn Yan, NY
National Provider Identifier
1699877209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400234-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F400234-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Rochester, NY
- NPI 1215025523
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1174562003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.