Active NPI
Tracy Ann Casas, AGACNP-BC
- Acute Care Nurse Practitioner
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209016060
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1256 - Phone
- (708) 923-4000
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041378617 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 209016060 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1256
Mailing address
22390 Aster Dr
Frankfort, IL 60423-7897
Phone (815) 919-2071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041378617 | IL | MD | Registered Nurse |
| 209016060 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hematology Oncology LLC | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Comprehensive Hematology Oncology LLC | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients |
Locations
3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
1835 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 586-2273
5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570
2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600
3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Saint Petersburg, FL
- NPI 1144786906
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- Community/Retail Pharmacy
- St Petersburg, FL
- NPI 1528610367
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1760904676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22390 ASTER DR",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604237897",
"telephone_number": "815-919-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631256",
"telephone_number": "708-923-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAS",
"first_name": "TRACY",
"middle_name": "ANN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041378617",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209016060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.