CASEY DESHAMBO PAC – NPI #1386138568
Physician Assistant

CASEY DESHAMBO is a physician assistant located in ESCANABA, MI. NPPES has assigned the NPI number 1386138568 to CASEY DESHAMBO on June 20, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363AM0700X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant, specializing in Medical

The NPI profile was last updated on Aug 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CASEY DESHAMBO below.

NPI Profile for
CASEY DESHAMBO

NPI Number
1386138568
Enumeration Date

(about 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CASEY DESHAMBO
Credentials
PAC
Primary location
3401 LUDINGTON ST
ESCANABA, MI 49829-1300
Phone: (906) 786-3311 Fax: (906) 789-3615
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363AM0700X
- Physician Assistant / Medical (Primary)		 MI 5601009487

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CASEY DESHAMBO is affiliated with the following medical group(s):
  • HOSPITAL
    • OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP
      3401 LUDINGTON ST
      ESCANABA, MI 49829

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.