Rachel Castillo, FNP
Individual provider Active NPI Family Nurse Practitioner · Syracuse, NY
NPI 1124885819 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1124885819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 357457 (NY)
- Practice address
- 5075 W Seneca Tpke
Syracuse, NY 13215-3216 - Phone
- (315) 449-6000
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 NW 136TH Ave
Sunrise, FL 33323-2857
1643 NW 136TH Ave H100
Sunrise, FL 33323-2857
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20250910002795 | NY | Practitioner - Nurse Practitioner | 5193228765 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 796419 | NY | MD | Pediatric Registered Nurse |
| 357457 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| New York General Medical Services PC | Current |
Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current |
Accepting new patients |
Locations
1643 NW 136th Ave
#H100
Sunrise, FL 33323
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 796419 | NY | |
| Family Nurse Practitioner | 363LF0000X | 357457 | NY | Yes |
Addresses
Primary practice location
5075 W Seneca Tpke
Syracuse, NY 13215-3216
Mailing address
241 W Borden Ave
Syracuse, NY 13205-1216
Phone (347) 614-9930
Other providers in Syracuse, NY
- Stefanie A Cassel
- Karen Lynn Castaldo
- Sereia Castellanos Ross
- Ana Castelli
- Michael Gene Castello
- Castle Rest Nursing Home
- Samuel Barton Castleberry
- Amanda Castrello
- Andrea Castro
- Noel David Castro
All providers in Syracuse, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 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.