Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASEY WILSON NORTHRUP MD
NPI 1710828488
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Casey Northrup's NPI number?

The NPI number for Casey Northrup is 1710828488. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Q: What is Casey Northrup's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Northrup was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 April 04, 2026PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000(910) 667-5650 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Apr 4, 2026 (2 updates tracked since 2026).

On this page

About Casey Wilson Northrup Md NPPES

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

CASEY WILSON NORTHRUP MD (NPI 1710828488) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL26-0063) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710828488

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCASEY WILSON NORTHRUPCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 343-7000 · Fax (910) 667-5650

Phone(910) 343-7000

Fax(910) 667-5650

Sole ProprietorNo

Enumeration DateApril 4, 2026

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1710828488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL26-0063

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2131 S 17TH ST, Wilmington, NC 28401

Open in Google Maps ↗

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 Wilson Northrup Md 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.

NEW HANOVER REGIONAL MEDICAL CENTER

Rehabilitation Hospital