MARY BETH CASEY (FNP-C) – Family Nurse Practitioner, NPI 1649644469

MARY BETH CASEY (FNP-C) is a healthcare provider. based in Chardon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. COA.17685-NP (OH). The NPI Number for MARY BETH CASEY (FNP-C) is 1649644469

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH CASEY (FNP-C)
NPI
1649644469
Phone
(440) 724-0034
Address
12680 KLATKA DR
Enumeration Date
17 November 2015
Last Update Date
17 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402550678
Graduation Year
2015 (11 years ago)
PAC ID
2860794005
Group Practice PAC ID
6406147198
Professional Enrollment ID
I20160105003029
Address ID
OH440606462ME9083XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MARY BETH CASEY (FNP-C)

  • 12680 KLATKA DR

    CHARDON, OH 440248305

    Phone: (440) 724-0034

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $190.

Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($88).

Total Amount

$190

General + Research + Ownership

Payments

9

Total payment records

General Amount

$190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160105003029INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406147198View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Marriage And Family TherapistOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH

Reviews

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Frequently asked questions

What NPI should I save for MARY BETH CASEY (FNP-C)?
Save NPI 1649644469 if you need a stable reference for MARY BETH CASEY (FNP-C).
Is MARY BETH CASEY (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARY BETH CASEY (FNP-C) work in?
You can think of MARY BETH CASEY (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY BETH CASEY (FNP-C)?
The page summarizes Chardon, Ohio for MARY BETH CASEY (FNP-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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