Provider Demographics
NPI:1447883517
Name:HOOD, CASEY JO (APRN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:JO
Last Name:HOOD
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-C
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:JO
Other - Last Name:CUMMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:524 N FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-3774
Mailing Address - Country:US
Mailing Address - Phone:812-330-7837
Mailing Address - Fax:812-558-5913
Practice Address - Street 1:524 N FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3774
Practice Address - Country:US
Practice Address - Phone:812-330-7837
Practice Address - Fax:812-558-5913
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28208841A363LF0000X, 163W00000X
IN71010316A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300067875Medicaid
INQ00398350OtherRAILROAD PTAN
IN090540770OtherMEDICARE PTAN