CASEY LULAY (FNP-C) – Nurse Practitioner, NPI 1295151686

CASEY LULAY (FNP-C) is a healthcare provider. based in Salem, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP60451155 (WA). The NPI Number for CASEY LULAY (FNP-C) is 1295151686

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CASEY LULAY (FNP-C)
NPI
1295151686
Phone
(503) 363-8047
Address
2485 12TH ST SE
Enumeration Date
10 March 2014
Last Update Date
31 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035075356
Graduation Year
2013 (13 years ago)
PAC ID
8123242658
Group Practice PAC ID
1456614361
Professional Enrollment ID
I20140818002191
Address ID
OR973839739ST41805SEXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for CASEY LULAY (FNP-C)

  • 2485 12TH ST SE

    SALEM, OR 973022151

    Phone: (503) 363-8047

    Fax: (503) 363-6571

    Type: Mailing

  • PO BOX 118

    STAYTON, OR 973830118

    Phone: (503) 507-5356

    Type: Mailing

  • 41805 STAYTON SCIO RD SE

    STAYTON, OR 973839739

    Phone: (503) 507-5356

    Fax: (866) 225-2708

    Type: Location

  • 610 HAWTHORNE AVE SE

    SUITE 250

    SALEM, OR 97301

    Phone: (503) 507-5356

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $340.

Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Exact Sciences Corporation ($170).

Total Amount

$340

General + Research + Ownership

Payments

17

Total payment records

General Amount

$340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-08-18

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
I20140818002191INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96160Administration and interpretation of patient-focused health risk assessment17186$0
99214Established patient office or other outpatient visit, 30-39 minutes12957$0
99213Established patient office or other outpatient visit, 20-29 minutes7442$0
99204New patient office or other outpatient visit, 45-59 minutes6565$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
View full utilization report →

Insurance plans in this area (ZIP 97302)

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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: 1456614361View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the registry number for CASEY LULAY (FNP-C)?
The registry entry for CASEY LULAY (FNP-C) shows NPI 1295151686.
Does the public listing show CASEY LULAY (FNP-C) as active?
CASEY LULAY (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits CASEY LULAY (FNP-C)?
NPPES ties CASEY LULAY (FNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CASEY LULAY (FNP-C)?
CASEY LULAY (FNP-C) is associated with Salem, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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