Individual provider Active NPI

Czarina S Castillo Boedeker, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1013496736
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008343A Issued in IN
Practice address
7250 Clearvista Dr Ste 380
Indianapolis, IN 46256-5608
Phone
(317) 621-3700
Fax
(317) 621-3701
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28197056A IN
Family Nurse Practitioner 363LF0000X 71008343A IN Primary

Addresses

Primary practice location

7250 Clearvista Dr Ste 380
Indianapolis, IN 46256-5608

Mailing address

7250 Clearvista Dr Ste 380
Indianapolis, IN 46256-5608
Phone (317) 621-3700

Other names 1

  • Ma Czarina S Castillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004002604 IN Practitioner - Nurse Practitioner 3577815349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

7250 Clearvista Dr
Suite 380
Indianapolis, IN 46256-5608
Phone (317) 621-7250

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074
  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28197056AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Dec 14, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 14, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

1400 N Ritter Ave
Ste 375B
Indianapolis, IN 46219
Phone (317) 355-9370

7250 Clearvista Dr
Ste 380
Indianapolis, IN 46256
Phone (317) 621-3700

1030 E County Line Rd
Ste B1
Indianapolis, IN 46227
Phone (317) 497-6024

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: ccastillo8530@ecommunitydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1013496736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 CLEARVISTA DR STE 380",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462565608",
            "telephone_number": "317-621-3700",
            "fax_number": "317-621-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CLEARVISTA DR STE 380",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462565608",
            "telephone_number": "317-621-3700",
            "fax_number": "317-621-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO BOEDEKER",
        "first_name": "CZARINA",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28197056A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008343A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA CZARINA",
            "last_name": "CASTILLO",
            "middle_name": "S",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.