Juan Luis Castillo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201600993NP-PP Issued in OR

Practice address

1880 Lancaster Dr NE Ste 108
Salem, OR 97305-1065

Phone

(971) 273-0679

Fax

(503) 961-0794

NPI assigned

Jan 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Juan Luis Castillo Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Moscati Community Health CareGroup PAC ID 8426312497, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.castillo@532866887647236.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/17738/brand/1/csg/1/fhir/r4

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.

• Saint Moscati Community Health Care

  • Primary Care Clinic/Center
  • Salem, OR
  • NPI 1326589771
  Medicare reassignment Care Compare group NPD
• DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P

  • Psychiatric Hospital
  • Salem, OR
  • NPI 1508802489
  Medicare reassignment NPD
• Salem Clinic, PC

  • General Practice Physician
  • Salem, OR
  • NPI 1538337266
  NPD (past)

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

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1053778910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 108",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051065",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 108",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051065",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201600993NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500706549",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "CASTILLO",
            "middle_name": "LUIS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana E Castilla, DDS, MS
• Tonia Marie Castilleja, MS, QMHP
• Brenda Sarahi Castillo Torres I
• Michelle Castillo-Elizondo, QHMA
• Gina J Castillo
• Katie Castillo
• Tiffany Castillo
• Patricia Castillon, CRM
• Brenda Susan Castle, BS
• Sandra Castles

• Family Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.