Individual provider Active NPI

Paul Anthony Casados, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1356190995
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999732-NP Issued in CO
Practice address
1115 N Grand Ave
Pueblo, CO 81003-2867
Phone
(719) 766-8511
NPI assigned
May 15, 2024
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999732-NP CO Primary

Addresses

Primary practice location

1115 N Grand Ave
Pueblo, CO 81003-2867

Mailing address

2505 Dahlia LN
Pueblo, CO 81004-3630
Phone (719) 320-9072

Other practice location 1

2505 Dahlia Ln
Pueblo, CO 81004-3630
Phone (719) 320-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240924003271 CO Practitioner - Nurse Practitioner 2860933348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999732-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Casados Wellness Services CurrentSince Jul 9, 2026 Accepting new patients
Rocky Mountain Neuropsychiatric Associates, P.C. PastSince Jul 17, 2022 Accepting new patients
Springbok Health Inc. Psychiatric/Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: springbokhealth.paulcasados@152930.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1356190995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 DAHLIA LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043630",
            "telephone_number": "719-320-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032867",
            "telephone_number": "719-766-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Dahlia Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043630",
            "country_code": "US",
            "telephone_number": "719-320-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASADOS",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999732-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.