Individual provider Active NPI

Casey Kernan, DO

  • General Practice Physician
  • Suquamish, WA
National Provider Identifier
1861982944
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO.OP.61093395 Issued in WA
Practice address
6968 NE Enetai LN
Suquamish, WA 98392-9766
Phone
(360) 394-1350
Fax
(360) 598-2709
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.OP.61093395 WA
General Practice Physician 208D00000X DO.OP.61093395 WA Primary

Addresses

Primary practice location

6968 NE Enetai LN
Suquamish, WA 98392-9766

Mailing address

6968 NE Enetai LN
Suquamish, WA 98392-9766
Phone (360) 394-1350

Other identifiers 1

IdentifierTypeStateIssuer
2160220MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240326000561 TX Practitioner - Family Practice 2769727296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suquamish TribalGroup PAC ID 3173975893, 5 clinicians

Practice addresses (Care Compare)

6968 NE Enetai LN
Suquamish, WA 98392-9766
Phone (360) 394-1350

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suquamish Tribal CurrentSince Feb 24, 2022 Accepting new patients
Suquamish Tribal Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

6968 NE Enetai Ln
Suquamish, WA 98392
Phone (360) 394-1350

18490 Suquamish Way NE
Unit 107
Suquamish, WA 98392
Phone (360) 394-8550

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1861982944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6968 NE ENETAI LN",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929766",
            "telephone_number": "360-394-1350",
            "fax_number": "360-598-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6968 NE ENETAI LN",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929766",
            "telephone_number": "360-394-1350",
            "fax_number": "360-598-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNAN",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DO.OP.61093395",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "DO.OP.61093395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160220",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suquamish, WA

Sources for this page

Verify at the official NPI Registry.