Individual provider Active NPI

Casey Whiteley, NP-C

  • Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1992668610
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95037842 Issued in CA
Practice address
1544 Eureka Rd Ste 160
Roseville, CA 95661-3092
Phone
(916) 772-0200
Fax
(916) 772-0218
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95037842 CA Primary

Addresses

Primary practice location

1544 Eureka Rd Ste 160
Roseville, CA 95661-3092

Mailing address

4000 Hollywood Blvd Ste 215S
Hollywood, FL 33021-1227
Phone (206) 474-3049

Other practice location 1

3581 Palmer Dr Ste 203
Cameron Park, CA 95682-8237
Phone (530) 676-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260102002908 CA Practitioner - Nurse Practitioner 8022504604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Skin Institute Medical Group IncGroup PAC ID 0042407215, 26 clinicians

Practice addresses (Care Compare)

1544 Eureka Rd
Suite 160
Roseville, CA 95661-3092
Phone (916) 772-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95037842CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berman Skin Institute Medical Group Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

3581 Palmer Dr
Ste 203
Cameron Park, CA 95682
Phone (530) 676-0119

5575 W Las Positas Blvd
Ste 220
Pleasanton, CA 94588
Phone (650) 325-6000

1544 Eureka Rd
Ste 160
Roseville, CA 95661
Phone (916) 772-0200

1792 Tribute Rd
Ste 200
Sacramento, CA 95815
Phone (916) 678-5400

1 Daniel Burnham Ct
Ste 350C
San Francisco, CA 94109
Phone (415) 771-6300

100 Pringle Ave
Ste 425
Walnut Creek, CA 94596
Phone (925) 932-3800

1166 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 751-1500

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1992668610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "206-474-3049",
            "fax_number": "206-360-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 EUREKA RD STE 160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613092",
            "telephone_number": "916-772-0200",
            "fax_number": "916-772-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3581 Palmer Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956828237",
            "country_code": "US",
            "telephone_number": "530-676-0119",
            "fax_number": "530-387-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "CASEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95037842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.