MRS. CASEY NICOLE PRESTIGIACOMO APRN
NPI 1154934743
Nurse Practitioner - Family in Shepherdsville, KY
About Mrs. Casey Nicole Prestigiacomo Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CASEY NICOLE PRESTIGIACOMO APRN (NPI 1154934743) is an individual family provider in Shepherdsville, Kentucky, licensed in Kentucky (3015000) and active in the NPI registry since August 2020. She has opted out of Medicare through November 12, 2026.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Casey Nicole Prestigiacomo Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2024 through November 12, 2026.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEPHERDSVILLE, KY 40165
SHEPHERDSVILLE, KY 40165
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 Prestigiacomo's NPI number?
The NPI number for Casey Prestigiacomo is 1154934743. It was assigned to this individual provider in the NPPES registry on August 25, 2020.
Where is Casey Prestigiacomo located?
Casey Prestigiacomo practices at 189 Adam Shepherd Pkwy Ste 14, Shepherdsville, KY 40165. The listed phone number is (502) 531-9823.
What is Casey Prestigiacomo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Casey Prestigiacomo enrolled in Medicare?
No. Casey Prestigiacomo has opted out of Medicare through November 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Casey Prestigiacomo was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mrs. Casey Nicole Prestigiacomo, APRN · NPI 1154934743
Family physician in Shepherdsville, Kentucky. Individual provider, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1154934743 (Entity type: Individual)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3015000 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 189 ADAM SHEPHERD PKWY STE 14, Shepherdsville, KY 40165-6579
- **Phone:** (502) 531-9823
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 12, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** May 3, 2022
- **Other identifiers:** Medicaid 1951718949 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154934743) · Data from the CMS NPPES public registry.