Casey Lynne Charbonneau, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

116275 Issued in NE

Practice address

311 N 2ND Ave
Logan, IA 51546-1001

Phone

(712) 592-1718

NPI assigned

Jul 16, 2025

Last updated

Sep 9, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Community Hospital CorporationGroup PAC ID 0749190775, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819
  Medicare reassignment Care Compare group NPD
• Logan Volunteer Fire & Rescue Association

  dba Logan Fire Rescue Association

  • Land Ambulance
  • Logan, IA
  • NPI 1730296245
  NPD Authorized official
• Memorial Community Hospital Corporation

  dba Cottonwood Clinic

  • Clinic/Center
  • Tekamah, NE
  • NPI 1437281623

  Family Medicine

  NPD
• Memorial Community Hospital Corporation

  dba Fort Calhoun Clinic

  • Rural Health Clinic/Center
  • Fort Calhoun, NE
  • NPI 1417015207
  NPD (past)

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

• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819
  Care Compare affiliation

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1922990910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461001",
            "telephone_number": "712-592-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461001",
            "telephone_number": "712-592-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "NE",
            "postal_code": "680081128",
            "country_code": "US",
            "telephone_number": "402-426-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "CASEY",
        "middle_name": "LYNNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A185374",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "116275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Logan)
• Kathleen Chapman, NP
• County of Harrison (Harrison County Home and Public Health)
• Benjamin R Deutschman, DPT
• Eby Drug Store (Logan), Inc
• Empower Chiropractic PLLC
• Empower Family Chiropractic LLC

• Family Medicine Physician in Logan, IA
• Providers in Logan, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.