Simon David Castaneda, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Orange, TX
NPI 1073327136 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1073327136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1191008 (TX)
- Practice address
- 1008 Green Ave Ofc B
Orange, TX 77630-5620 - Phone
- (985) 892-7070
- Fax
- (985) 892-7017
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Priority Wound Care LLC
Etx Medical Group, PLLC
Practice addresses (Care Compare)
1431 S Hwy 69
Nederland, TX 77627-7841
Phone (409) 540-9418
4310 Dowlen Rd
Suite 16
Beaumont, TX 77706-6861
Phone (409) 299-4448
Hospital & facility affiliations
- Carter Healthcare
- Signature Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414001962 | TX | Practitioner - Nurse Practitioner | 8325562176 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etx Medical Group, PLLC | Current |
Accepting new patients | |
| Wound Care Associates LLC | Current |
Accepting new patients | |
| Priority Wound Care LLC | Family | Current |
Accepting new patients |
Locations
16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771
4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448
85 Interstate 10 N
Ste 110
Beaumont, TX 77707
Phone (409) 853-1885
1431 S Highway 69
Nederland, TX 77627
Phone (409) 540-9418
1008 Green Ave
Ofc B
Orange, TX 77630
Phone (409) 204-4882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Family Nurse Practitioner | 363LF0000X | 1191008 | TX | Yes |
Addresses
Primary practice location
1008 Green Ave Ofc B
Orange, TX 77630-5620
Mailing address
PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070
Other providers in Orange, TX
- Renaurd Brown
- Sally W Burman
- Makenzie Rose Callender
- Mary Cannatella
- Philip Martinez Cantu
- Miguel E Castellanos
- Chambers County Public Hospital District No 1
- Marian M Chen-Hah
- Frank Kuang-She Chen
- Christopher W. Riedel, DDS, PA
All providers in Orange, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.