DR. CASEY JAMES DENEEN MD
NPI 1053107680
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 18, 2025PECOS Enrolled

420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Casey James Deneen Md NPPES

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

DR. CASEY JAMES DENEEN MD (NPI 1053107680) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (35400) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053107680

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CASEY JAMES DENEENCredential: MD

Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341

Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 625-6483

Phone(612) 625-6483

Sole ProprietorNo

Enumeration DateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1053107680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MN · 35400

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Casey James Deneen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.