1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Nurse Practitioner
  6. NPI Profile

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

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
40 S MAIN ST STE 1300, MEMPHIS, TN 38103(866) 949-0108(866) 620-4792 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, Apr 21, 2017 (2 updates tracked since 2017).

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Casey Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Careconnect Health, Inc.
376 mi
Federally Qualified Health Center (FQHC)
510 ALSTON ST STE B
Richland, GA 31825
  • Reassigned Medicare billing, Georgia enrollment
  • 219 clinicians in this Medicare group
NPI 1063436624 (229) 887-3324
Signify Health Medical Associates, PLLC
418 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia and Tennessee enrollments
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Hmv Diagnostics
645 mi
Clinic/Center
5304 MILE STRETCH DR
Holiday, FL 34690
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1043460744 (727) 940-5908

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
40 S MAIN ST STE 1300
MEMPHIS, TN 38103
Shelby County (866) 949-0108
RASHIDAT OLAYOKUN APRN
Nurse Practitioner (Family)
40 S MAIN ST STE 1300
MEMPHIS, TN 38103
Shelby County (901) 422-7610
KADEAN ALICIA MITCHELL
Nurse Practitioner (Adult Health)
40 S MAIN ST STE 1300
MEMPHIS, TN 38103
Shelby County (866) 949-0108
PROSPERO HEALTH PARTNERS, P.C.
Internal Medicine (Hospice and Palliative Medicine)
40 S MAIN ST STE 1300
MEMPHIS, TN 38103
Shelby County (901) 422-7610
URGENT CARE NEW YORK PC
Family Medicine (Hospice and Palliative Medicine)
40 S MAIN ST STE 1300
MEMPHIS, TN 38103
Shelby County (901) 422-7610

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 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.

Where is Casey Peterson located?

Casey Peterson practices at 40 S Main St Ste 1300, Memphis, TN 38103. The listed phone number is (866) 949-0108.

What is Casey Peterson's specialty?

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

Is Casey Peterson enrolled in Medicare?

Yes. Casey Peterson 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.

Which organizations bill Medicare for Casey Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Peterson reassigns Medicare benefits to 3 organizations: Careconnect Health, Inc. (Richland, GA), Signify Health Medical Associates, PLLC (Dallas, TX) and Hmv Diagnostics (Holiday, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Peterson accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Casey Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.