Individual provider Active NPI

Casidee R Lynch, PA-C

  • Medical Physician Assistant
  • Citrus Heights, CA
National Provider Identifier
1881243129
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TC084
Practice address
6912 Trailride Way
Citrus Heights, CA 95621-3323
Phone
(916) 838-6557
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC084 Primary

Addresses

Primary practice location

6912 Trailride Way
Citrus Heights, CA 95621-3323

Mailing address

1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251203001194 KY Practitioner - Physician Assistant 1951894401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Lung Care PLLCGroup PAC ID 5496910143, 8 clinicians

Practice addresses (Care Compare)

1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Lung Care PLLC Medical CurrentSince Nov 19, 2025 Accepting new patients

Locations

1015 DuPont Rd
Louisville, KY 40207
Phone (502) 883-0227

Organizations & group practices 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1881243129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074610",
            "telephone_number": "502-883-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 TRAILRIDE WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956213323",
            "telephone_number": "916-838-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CASIDEE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "TC084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.