Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Wollenberg, RN, FNP

Individual provider Family Nurse Practitioner · NPI 1174001804

Casey Wollenberg, RN, FNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone: (323) 442-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95009609 (CA)

Record details

NPI number1174001804
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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