Jacqueline Sova Castagno, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1060 Meyer Rd
Wentzville, MO 63385-3800

Phone

(314) 230-1500

Fax

(314) 230-1122

NPI assigned

Feb 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yoon Dermatology, LLCGroup PAC ID 5799101465, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jcastagno@yoonderm.emadirect.md

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.

• Yoon Dermatology LLC

  • Dermatology Physician
  • Wentzville, MO
  • NPI 1811510886
  Medicare reassignment Care Compare group
• Southeastern Emergency Services of Memphis, P.C.

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1164454450

  MO

  Medicare reassignment
• North County Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Florissant, MO
  • NPI 1356366934

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1073852885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Smizer Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630263483",
            "country_code": "US",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Hermann",
            "state": "MO",
            "postal_code": "650411547",
            "country_code": "US",
            "telephone_number": "573-486-2191",
            "fax_number": "573-486-3743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633341974",
            "country_code": "US",
            "telephone_number": "573-324-5300",
            "fax_number": "573-324-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTAGNO",
        "first_name": "JACQUELINE",
        "middle_name": "SOVA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla C. Collins LLC
• Kayla Elayne Campbell, PHD, PLP
• Matthew Jay Carlisle, R.PH.
• Andrew D Cartmill, DPT
• Tara Marie Casaletto, MSN-FNP
• Debra Lynn Cates, MAC
• Cep America LLC
• Ndye Secka Chamberlain
• Megan Chapman, LPC
• Spandana Charles

• Physician Assistant in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.