Casey Wegener, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2016020646 Issued in MO

Practice address

7136 S Outer 364
O Fallon, MO 63368-7756

Phone

(636) 561-3277

Fax

(636) 561-5280

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Casey Moser Former name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

O'Fallon Dermatology Specialists, P.C.Group PAC ID 8729043948, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

81.6

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• O'Fallon Dermatology Specialists, P.C.

  • Specialist
  • O'Fallon, MO
  • NPI 1255468906
  Medicare reassignment Care Compare group
• Skin Cancer Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • O'Fallon, IL
  • NPI 1699407643
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1902293004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 S OUTER 364",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687756",
            "telephone_number": "636-561-3277",
            "fax_number": "636-561-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 S OUTER 364",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687756",
            "telephone_number": "636-561-3277",
            "fax_number": "636-561-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "CASEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016020646",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "MOSER",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Ann Watt, FNP
• Anthony P Webb
• Kristin Webb, PTA
• Emily Susan Weber, DPT
• Kristin K Weber
• Weikart Healthcare Group LLC
• Kevin D Weikart, M.D.
• Devon Marcia Weiler
• Daniel Martin Weisel, MD
• Aaron Welk, DC

• Physician Assistant in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.