Individual provider Active NPI

Maria Emilaine De Castro, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1164852802
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5293 Issued in AZ
Practice address
9950 E Guadalupe Rd
Mesa, AZ 85212-2135
Phone
(480) 354-3758
NPI assigned
Nov 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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 AP5293 AZ Primary

Addresses

Primary practice location

9950 E Guadalupe Rd
Mesa, AZ 85212-2135

Mailing address

9950 E Guadalupe Rd
Mesa, AZ 85212-2135
Phone (480) 354-3758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140221000311 AZ Practitioner - Nurse Practitioner 4587894456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone (866) 389-2727

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (866) 389-2727

3170 S Higley Rd
Gilbert, AZ 85295-2051
Phone (866) 389-2727

9950 E Guadalupe Rd
Mesa, AZ 85212-2135
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5293AZMDDentist
AP5293AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Feb 1, 2014 Accepting new patients
District Medical Group, Inc CurrentSince Feb 1, 2014 Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 4, 2014 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

9950 E Guadalupe Rd
Mesa, AZ 85212
Phone (480) 354-3758

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1164852802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 E GUADALUPE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122135",
            "telephone_number": "480-354-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 E GUADALUPE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122135",
            "telephone_number": "480-354-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO",
        "first_name": "MARIA EMILAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.