CASEY MOFFITT
NPI 1144979295
Student in an Organized Health Care Education/Training Program in Mineola, NY

Q: What is Casey Moffitt's NPI number?

The NPI number for Casey Moffitt is 1144979295. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Casey Moffitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Moffitt was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2022PECOS Enrolled

259 1ST ST, MINEOLA, NY 11501(516) 663-1644(516) 663-3070 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Casey Moffitt NPPES

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

CASEY MOFFITT (NPI 1144979295) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144979295

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCASEY MOFFITT

Location Address259 1ST STMineola, NY 11501-3957

Mailing Address259 1st StMineola, NY 11501-3957 · (516) 663-1644 · Fax (516) 663-3070

Phone(516) 663-1644

Fax(516) 663-3070

Sole ProprietorNo

Enumeration DateMarch 23, 2022

Last NPPES UpdateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1144979295 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

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.

259 1ST ST, Mineola, NY 11501

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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)

Casey Moffitt 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.