DR. KASEY CONKLIN MD
NPI 1508396433
Emergency Medicine in Santa Rosa, CA
About Dr. Kasey Conklin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KASEY CONKLIN MD (NPI 1508396433) is an individual emergency medicine provider in Santa Rosa, California, licensed in Virginia (0101272123) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Kasey Conklin Md 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Kasey Conklin's NPI number?
The NPI number for Kasey Conklin is 1508396433. It was assigned to this individual provider in the NPPES registry on June 13, 2017.
Where is Kasey Conklin located?
Kasey Conklin practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.
What is Kasey Conklin's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kasey Conklin enrolled in Medicare?
Yes. Kasey Conklin 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.
When was this NPI record last updated?
The NPPES record for Kasey Conklin was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Kasey Conklin, MD · NPI 1508396433
Emergency Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since June 13, 2017.
## Identity
- **NPI:** 1508396433 (Entity type: Individual)
- **Enumerated:** June 13, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101272123 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 393-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508396433) · Data from the CMS NPPES public registry.