Individual provider Active NPI

Casey James Hollensteiner, MD

  • Emergency Medicine Physician
  • Jacksonville Beach, FL
National Provider Identifier
1750517850
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME149033 Issued in FL
Practice address
707 1St St S Apt 403
Jacksonville Beach, FL 32250-6668
Phone
(217) 653-3612
NPI assigned
Jun 3, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R1223 TX
Emergency Medicine Physician 207P00000X 036130381 IL
Emergency Medicine Physician 207P00000X 2016038088 MO
Emergency Medicine Physician 207P00000X ME149033 FL Primary

Addresses

Primary practice location

707 1St St S Apt 403
Jacksonville Beach, FL 32250-6668

Mailing address

707 1St St S Apt 403
Jacksonville Beach, FL 32250-6668
Phone (217) 653-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120711000437 IL Practitioner - Emergency Medicine 6709041049 Reassigns benefits to 3 organizations
I20171130000230 MO Practitioner - Emergency Medicine 6709041049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME149033FLMDEmergency Medicine Physician
036130381ILMDEmergency Medicine Physician
2016038088MOMDEmergency Medicine Physician
R1223TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 10, 2017 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 10, 2017 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

Interoperability endpoints

  • Direct secure messaging: casey.hollensteiner.1@30520.direct.athenahealth.com

Organizations & group practices 8

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1750517850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 1ST ST S APT 403",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506668",
            "telephone_number": "217-653-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 1ST ST S APT 403",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506668",
            "telephone_number": "217-653-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENSTEINER",
        "first_name": "CASEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R1223",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036130381",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016038088",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.