Individual provider Active NPI

Casey Dawn Elliott, FNP-C

  • Family Nurse Practitioner
  • Bayboro, NC
National Provider Identifier
1942945811
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016148 Issued in NC
Practice address
606 Main St.
Bayboro, NC 28515
Phone
(252) 745-3191
NPI assigned
May 4, 2022
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016148 NC Primary

Addresses

Primary practice location

606 Main St.
Bayboro, NC 28515

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 745-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220614002549 NC Practitioner - Nurse Practitioner 1557740024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 633-1678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5016148NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA CurrentSince May 4, 2022 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince May 4, 2022 Accepting new patients
Coastal Carolina Health Care PA Past Accepting new patients

Locations

606 Main St
Bayboro, NC 28515
Phone (252) 633-4111

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

Interoperability endpoints

  • Direct secure messaging: celliott27222@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1942945811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-745-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAIN ST.",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "28515",
            "telephone_number": "252-745-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CASEY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayboro, NC

Sources for this page

Verify at the official NPI Registry.