CASEY SHANNON MULLIGAN PA-C
NPI 1700604865
Physician Assistant - Medical in Nanticoke, PA

Active since September 27, 2024PECOS EnrolledAccepts Medicare Assignment
128 E MAIN ST, NANTICOKE, PA 18634(570) 258-1304 Get Directions Write a Review

NPPES record last updated: September 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casey Shannon Mulligan Pa-c NPPES

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

CASEY SHANNON MULLIGAN PA-C (NPI 1700604865) is an individual medical provider in Nanticoke, Pennsylvania, licensed in Pennsylvania (MA066065) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700604865
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCASEY SHANNON MULLIGANCredential: PA-C
Location Address128 E MAIN STNanticoke, PA 18634-1604
Mailing Address26 Martin StHanover Township, PA 18706-1010 · (570) 899-4522
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 27, 2024
Last NPPES UpdateSeptember 29, 2024
NPPES CertifiedSeptember 29, 2024
NPI 1700604865 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 · MA066065
128 E MAIN ST, Nanticoke, PA 18634

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

Casey Shannon Mulligan Pa-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 ID9234663519
PECOS Enrollment IDI20241108001594
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Other Providers at the Same Location NPPES 11

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

Internal Medicine
128 E MAIN ST
NANTICOKE, PA 18634
Physician Assistant
128 E MAIN ST
NANTICOKE, PA 18634
Family Medicine
128 E MAIN ST
NANTICOKE, PA 18634
Pharmacist (Ambulatory Care)
128 E MAIN ST
NANTICOKE, PA 18634
Nurse Practitioner (Family)
128 E MAIN ST
NANTICOKE, PA 18634
Family Medicine
128 E MAIN ST
NANTICOKE, PA 18634
Family Medicine
128 E MAIN ST
NANTICOKE, PA 18634
Physician Assistant
128 E MAIN ST
NANTICOKE, PA 18634

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 Mulligan's NPI number?

The NPI number for Casey Mulligan is 1700604865. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Casey Mulligan located?

Casey Mulligan practices at 128 E Main St, Nanticoke, PA 18634. The listed phone number is (570) 258-1304.

What is Casey Mulligan's specialty?

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

Is Casey Mulligan enrolled in Medicare?

Yes. Casey Mulligan 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.

Is Casey Mulligan affiliated with any hospitals?

According to CMS data, Casey Mulligan is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Casey Mulligan was last updated on September 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.