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Casey Mast Wallner , RD, LD

Dietitian, Registered β€’ Newport, OR

Active NPI 1104246024 Individual Practitioner Female Practitioner
Practice location in NPPES

5280 Ne Shell World Pl
Newport, OR 973651246

Call 5415791823 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5280 Ne Shell World Pl

Newport, OR 973651246

Telephone 5415791823
Organization at the Same NPPES Address or Phone
Your Friendly Dietitian, Llc Facility NPI 1871264424

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Casey Wallner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Newport and Oregon

7 active clinicians are listed under Dietitian, Registered with a practice address in Newport, OR (927 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-23
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OR LDD10158382

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20140620001956

Enrollment State Jurisdiction

OR

PECOS Control ID

2769606300

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 31, 2020

Registered at 5280 NE SHELL WORLD PL, NEWPORT, OR 973651246 (Tel: 5415791823)

πŸ“
Updated Business Mailing Address December 31, 2020

Registered at 5280 NE SHELL WORLD PL, NEWPORT, OR 973651246 (Tel: 5415791823)

πŸ“
Updated Practice Location January 04, 2019

Registered at 1280 PEARL ST, EUGENE, OR 97401 (Tel: 5415791823)

πŸ“
Updated Business Mailing Address January 04, 2019

Registered at 1280 PEARL ST, EUGENE, OR 974013540 (Tel: 5415791823)

βœ…
NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 01, 2016

Registered at 1232 UNIVERSITY OF OREGON, EUGENE, OR 974031205 (Tel: 5413462794)

πŸ“
Business Mailing Address (Initial Record) August 01, 2016

Registered at 1232 UNIVERSITY OF OREGON, EUGENE, OR 974031205 (Tel: 5413462794)

πŸ‘€
Provider Name / Credentials (Initial Record) August 01, 2016

Recorded as CASEY WALLNER, RD, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Dietitian, Registered (license number reported to NPPES: OR LDD10158382)

🟒
Initial NPI Registration & Enumeration April 17, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104246024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2014
Last Update: September 23, 2021
Sole Proprietor: Yes

Mailing Address

5280 Ne Shell World Pl

Newport, OR 973651246

Phone: 5415791823

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.