Kasey L Carnes, PA-C

Key facts

NPI

1770534158

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

2005037008 (MO)

Practice address

1390 US Highway 61 Ste G1000
Festus, MO 63028-4136

Phone

(636) 933-7400

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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.

• Mercy Clinic Surgical Specialists, LLC Vascular Surgery Physician · Washington, MO · NPI 1043530538
  Medicare reassignment Care Compare group MO
• Mercy Clinic East Communities Internal Medicine Physician · Saint Louis, MO · NPI 1851335228
  NPD (past)
• Suburban Foot Care LTD Podiatrist · Saint Louis, MO · NPI 1407994585
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Jefferson General Acute Care Hospital · Festus, MO · NPI 1508859661
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Saint Louis University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Surgical Specialists LLC (180 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Jefferson Hospital · Crystal City, MO · CCN 260023

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Specialties & licenses

Addresses

Other identifiers

Other names

• Mrs. Kasey L Scmitt Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2023.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1770534158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE G1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284136",
            "telephone_number": "636-933-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE G1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284136",
            "telephone_number": "636-933-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "KASEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005037008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "204634",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "732725",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kasey.carnes@direct.signature.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1390 Highway 61",
            "address_2": "Suite G1000",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630284137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "SCMITT",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Festus, MO · Physician Assistant in Missouri