CASEY MAE PELLETIER PA-C
NPI 1053070144
Physician Assistant - Surgical in Vacaville, CA

Active since December 15, 2021PECOS EnrolledAccepts Medicare Assignment
1 QUALITY DR, VACAVILLE, CA 95688(707) 624-4000 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Feb 25, 2022, Dec 15, 2021 (3 updates tracked since 2021).

About Casey Mae Pelletier Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY MAE PELLETIER PA-C (NPI 1053070144) is an individual surgical provider in Vacaville, California, licensed in California (PA66268) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053070144
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCASEY MAE PELLETIERCredential: PA-C
Location Address1 QUALITY DRVacaville, CA 95688-9494
Mailing Address1 Quality DrVacaville, CA 95688-9494 · (707) 624-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 15, 2021
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1053070144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA66268
Also ListedPhysician AssistantTaxonomy 363A00000X · License C5-0011682 (DE), C0008278 (MD)
1 QUALITY DR, Vacaville, CA 95688

Other Names 1

Former Name (1)Casey Mae Polasko Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Casey Mae Pelletier Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436543758
PECOS Enrollment IDI20250826004724
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 QUALITY DR
VACAVILLE, CA 95688
Physical Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Respiratory Therapist, Registered
1 QUALITY DR
VACAVILLE, CA 95688
Physical Medicine & Rehabilitation
1 QUALITY DR, B36
VACAVILLE, CA 95688
Occupational Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Family Medicine
1 QUALITY DR
VACAVILLE, CA 95688
Clinic/Center (Adult Mental Health)
1 QUALITY DR
VACAVILLE, CA 95688
Optometrist
1 QUALITY DR
VACAVILLE, CA 95688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Pelletier's NPI number?

The NPI number for Casey Pelletier is 1053070144. It was assigned to this individual provider in the NPPES registry on December 15, 2021. The provider is also known as Casey Mae Polasko Pa-C.

Where is Casey Pelletier located?

Casey Pelletier practices at 1 Quality Dr, Vacaville, CA 95688. The listed phone number is (707) 624-4000.

What is Casey Pelletier's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Casey Pelletier enrolled in Medicare?

Yes. Casey Pelletier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Casey Pelletier accept?

Health plans from AmeriHealth Caritas Next list Casey Pelletier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Pelletier was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.