Individual provider Active NPI

Anna Mae Dela Cruz Castilleja, NP

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1194218289
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137745 Issued in TX
Practice address
208 Shiloh Dr Ste 1
Laredo, TX 78045-7402
Phone
(956) 718-6281
NPI assigned
Jun 13, 2018
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137745 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

208 Shiloh Dr Ste 1
Laredo, TX 78045-7402

Mailing address

PO Box 3397
Laredo, TX 78044-3397
Phone (956) 795-8100

Other practice location 1

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (956) 523-2000

Other practice location 2

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181004002575 TX Practitioner - Nurse Practitioner 9931451705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castilleja Adult Clinic PLLCGroup PAC ID 0345683447, 2 clinicians

Practice addresses (Care Compare)

201 W Hillside Rd
Suite 17
Laredo, TX 78041-3197
Phone (956) 394-2502

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castilleja Adult Clinic PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

201 W Hillside Rd
Ste 17
Laredo, TX 78041
Phone (956) 394-2502

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBAEDD/Endpoint/JBAEDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1194218289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443397",
            "telephone_number": "956-795-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SHILOH DR STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457402",
            "telephone_number": "956-718-6281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 McPherson Rd",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780456268",
            "country_code": "US",
            "telephone_number": "956-523-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 E Saunders St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780415474",
            "country_code": "US",
            "telephone_number": "956-796-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLEJA",
        "first_name": "ANNA MAE",
        "middle_name": "DELA CRUZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137745",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.