Individual provider Active NPI

Ariel Casillas Jr., ARNP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1255083556
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AAPRN11016722 Issued in FL
Practice address
1090 W State Road 436
Altamonte Springs, FL 32714-2921
Phone
(407) 869-1030
Fax
(407) 869-1025
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 AAPRN11016722 FL Primary

Addresses

Primary practice location

1090 W State Road 436
Altamonte Springs, FL 32714-2921

Mailing address

1706 E Semoran Blvd Ste 118
Apopka, FL 32703-5600
Phone (407) 765-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220128001672 FL Practitioner - Nurse Practitioner 0042602831 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AAPRN11016722FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Morris Corporation CurrentSince Jan 23, 2025 Accepting new patients
Alonso Medical and Wellness Institute LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

1090 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 869-1030

4441 Collins Ave
Miami Beach, FL 33140
Phone (214) 862-5756

Interoperability endpoints

  • Direct secure messaging: ariel.casillas.1@28000.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIIFDD

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1255083556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E SEMORAN BLVD STE 118",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035600",
            "telephone_number": "407-765-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W STATE ROAD 436",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142921",
            "telephone_number": "407-869-1030",
            "fax_number": "407-869-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "ARIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-12-16",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "AAPRN11016722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.