Individual provider Active NPI

Casey E. Mahoney, NP

  • Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1750829693
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7367 Issued in CT
Practice address
305 Western Blvd Ste 100
Glastonbury, CT 06033-4380
Phone
(860) 522-0604
Fax
(860) 659-2652
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7367 CT Primary

Addresses

Primary practice location

305 Western Blvd Ste 100
Glastonbury, CT 06033-4380

Mailing address

305 Western Blvd Ste 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

Other practice location 1

7 Southwoods Blvd- Attn: Credentials
Capital Cardiology Associates, PC
Albany, NY 12211-2526
Phone (518) 292-6000

Other identifiers 3

IdentifierTypeStateIssuer
110121424AMedicaidMA
04697090MedicaidNY
1029983MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180406001323 CT Practitioner - Nurse Practitioner 9537443916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians

Practice addresses (Care Compare)

305 Western Blvd
Suite 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
68.37
Promoting interoperability
100
Improvement activities
40
Cost
76.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7367CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. CurrentSince Mar 3, 2018 Accepting new patients
Consulting Cardiologists, P.C. CurrentSince Mar 3, 2018 Accepting new patients

Locations

280 S Main St
Ste 205
Cheshire, CT 06410
Phone (203) 678-1050

305 Western Blvd
Ste 100
Glastonbury, CT 06033
Phone (860) 525-1532

305 Western Blvd
#100
Glastonbury, CT 06033
Phone (860) 247-0604

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

1062 Barnes Rd
Ste 300
Wallingford, CT 06492
Phone (203) 265-9831

433 S Main St
Ste 109
West Hartford, CT 06110

Interoperability endpoints

  • Direct secure messaging: casey.mahoney.1@6291.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1750829693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WESTERN BLVD STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334380",
            "telephone_number": "860-522-0604",
            "fax_number": "860-659-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WESTERN BLVD STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334380",
            "telephone_number": "860-522-0604",
            "fax_number": "860-659-2652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Southwoods Blvd- Attn: Credentials",
            "address_2": "Capital Cardiology Associates, PC",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122112526",
            "country_code": "US",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "CASEY",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110121424A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04697090",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029983",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.