MRS. CASEY CRUMP PETERSON NP-C - NPI 1609239938 - Nurse Practitioner in Memphis, TN

Q: What is Casey Peterson's NPI number?

The NPI number for Casey Peterson is 1609239938. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Casey Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Peterson was last updated on November 17, 2021. 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.

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About Mrs. Casey Crump Peterson Np-c NPPES

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

MRS. CASEY CRUMP PETERSON NP-C (NPI 1609239938) is an individual family provider in Memphis, Tennessee, licensed in Georgia (RN214257) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609239938

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CASEY CRUMP PETERSONCredential: NP-C

Location Address40 S MAIN ST STE 1300Memphis, TN 38103-5513

Mailing AddressProspero Health Partners Pc, Promenade Ii 1230 Peachtree St. Ne 19th FloorAtlanta, GA 30309-3574 · (866) 949-0108

Phone(866) 949-0108

Fax(866) 620-4792

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 4, 2016

Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1609239938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN214257

40 S MAIN ST STE 1300, Memphis, TN 38103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mrs. Casey Crump Peterson Np-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 ID2264728922

PECOS Enrollment IDI20260218004102

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. LISA MARIA TARTAGLIA D.O.

Family Medicine