CASEY RAE KASISKY PA-C
NPI 1699251728
Physician Assistant - Medical in Moosic, PA

Q: What is Casey Kasisky's NPI number?

The NPI number for Casey Kasisky is 1699251728. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Q: What is Casey Kasisky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Casey Kasisky was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 11, 2018PECOS Enrolled

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2018, Jul 11, 2018 (2 updates tracked since 2018).

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About Casey Rae Kasisky Pa-c NPPES

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

CASEY RAE KASISKY PA-C (NPI 1699251728) is an individual medical provider in Moosic, Pennsylvania, licensed in Pennsylvania (MA059861) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699251728

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCASEY RAE KASISKYCredential: PA-C

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507

Mailing Address2603 High Mountain RdFalls, PA 18615-7843 · (570) 240-2224

Phone(570) 346-3686

Sole ProprietorNo

Enumeration DateJuly 11, 2018

Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration

✔ NPI 1699251728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA059861

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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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 Rae Kasisky Pa-c 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.

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.

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)