Susana Pellecer Castillo, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2316401 Issued in MA

Practice address

47 Congress Street
Salem Family Health Center
Salem, MA 01970

Phone

(978) 744-8388

NPI assigned

Nov 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Community Health IncGroup PAC ID 4880666452, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scastillo18792@direct.ctc.masshiway.net

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.

• North Shore Community Health, Inc

  dba Salem Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Salem, MA
  • NPI 1588910384
  Medicare reassignment Care Compare group
• North Shore Community Health, Inc

  dba Gloucester Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Gloucester, MA
  • NPI 1710233572
  NPD

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1275047847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 513",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705523",
            "telephone_number": "978-744-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CONGRESS STREET",
            "address_2": "SALEM FAMILY HEALTH CENTER",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-744-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "SUSANA",
        "middle_name": "PELLECER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2316401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110152817A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Casiglia, DMD, DMSC
• Julia Lynn Cassidy
• Cassie McCarthy, Licsw, Inc
• Jeffrey Castellanos
• Elisa M Castillo, PH.D.
• Femie Mondia Catacata, RPT
• Kristine Marie Catalogna
• Justine Caton
• Amy Cavanagh, MSW
• Heidi Vega Cavanaugh, LICSW

• Family Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.