NPIMap

Individual provider Active NPI

Kelley Castillon, FNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1164064721
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020824 Issued in PA
Practice address
101 Abbeyville Rd
Lancaster, PA 17603-4603
Phone
(717) 291-5991
Fax
(717) 291-5806
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 SP020824 PA Primary

Addresses

Primary practice location

101 Abbeyville Rd
Lancaster, PA 17603-4603

Mailing address

101 Abbeyville Rd
Lancaster, PA 17603-4603
Phone (717) 291-5991

Other practice location 1

3 Irish Pl
Lititz, PA 17543-8697
Phone (717) 405-7256

Other names 1

  • Kelley Fitzgerald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000117 PA Practitioner - Nurse Practitioner 2567897432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2128 Embassy Dr
Penn Medicine LGHP Family Medicine Abbeyvil
Lancaster, PA 17603-2385
Phone (717) 544-3119

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Current Accepting new patients
York Hospital CurrentSince Jan 6, 2020 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Jun 12, 2022 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Jun 12, 2022 Accepting new patients
York Hospital Family Medicine CurrentSince Jan 6, 2020 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521

1001 S George St
York, PA 17403
Phone (717) 812-7687

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1164064721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ABBEYVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034603",
            "telephone_number": "717-291-5991",
            "fax_number": "717-291-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ABBEYVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034603",
            "telephone_number": "717-291-5991",
            "fax_number": "717-291-5806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Irish Pl",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175438697",
            "country_code": "US",
            "telephone_number": "717-405-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLON",
        "first_name": "KELLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "FITZGERALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.