Individual provider Active NPI

Simon David Castaneda, FNP-BC

  • Family Nurse Practitioner
  • Orange, TX
National Provider Identifier
1073327136
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191008 Issued in 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
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Nurse Practitioner 363LF0000X 1191008 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250414001962 TX Practitioner - Nurse Practitioner 8325562176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Priority Wound Care LLCGroup PAC ID 6901273564, 12 clinicians
Etx Medical Group, PLLCGroup PAC ID 8729494927, 14 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1191008TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Wound Care 2 U LLC Family CurrentSince Apr 23, 2026 Accepting new patients
Wound Care Associates LLC CurrentSince Mar 31, 2025 Accepting new patients
Etx Medical Group, PLLC CurrentSince May 3, 2025 Accepting new patients
Priority Wound Care Lymphedema & Hyperbaric Healing Center of Louisiana LLC Family CurrentSince Aug 3, 2026 Accepting new patients
Priority Wound Care LLC Family CurrentSince Aug 21, 2025 Accepting new patients

Locations

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

900 W McNeese St
Unit N11
Lake Charles, LA 70605
Phone (409) 853-1885

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

2415 Town Center Dr
Sugar Land, TX 77478
Phone (409) 853-1885

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1073327136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GREEN AVE OFC B",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305620",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "SIMON",
        "middle_name": "DAVID",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.