Individual provider Active NPI

Andrea Elena Castillo, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104476647
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002939 Issued in NV
Practice address
2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone
(702) 684-7800
Fax
(833) 438-3680
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002939 NV Primary

Addresses

Primary practice location

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400

Mailing address

4378 Velvet Ridge CT
Las Vegas, NV 89129-2624
Phone (713) 294-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20191120003257 NV Practitioner - Nurse Practitioner 6800228321 Reassigns benefits to 2 organizations

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
Doctors Center at Red Rock Capobianco PLLCGroup PAC ID 6204156763, 14 clinicians

Practice addresses (Care Compare)

2801 N Tenaya Way
Suite C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince May 10, 2024 Accepting new patients

Locations

1681 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 564-1234

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

7220 S Cimarron Rd
Ste 155
Las Vegas, NV 89113
Phone (702) 275-6686

Interoperability endpoints

  • Direct secure messaging: andrea.castillo.1@32704.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1104476647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 VELVET RIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292624",
            "telephone_number": "713-294-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "833-438-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ANDREA",
        "middle_name": "ELENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.