Individual provider Active NPI

Amado Castellon, APRN

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1386201408
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11001719 Issued in FL
Practice address
822 62ND Street Cir E Ste 102
Bradenton, FL 34208-6208
Phone
(941) 243-3983
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X APRN11001719 FL Primary

Addresses

Primary practice location

822 62ND Street Cir E Ste 102
Bradenton, FL 34208-6208

Mailing address

6101 Webb Rd Ste 203
Tampa, FL 33615-2865
Phone (813) 269-6426

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
I20190806000140 FL Practitioner - Nurse Practitioner 3072840693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

2128 Main St
Dunedin, FL 34698-5604
Phone (727) 736-7733

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Florida Medical Specialists LLC Single Specialty Current Accepting new patients
Florida Medical Specialists LLC Single Specialty CurrentSince Sep 9, 2022 Accepting new patients
Florida Medical Specialists LLC CurrentSince Sep 9, 2022 Accepting new patients

Locations

822 62nd Street Cir E
Ste 102
Bradenton, FL 34208
Phone (941) 243-3983

2128 Main St
Dunedin, FL 34698
Phone (727) 736-7733

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

6637 49th St N
Pinellas Park, FL 33781
Phone (727) 502-0052

12967 US Highway 301 S
Riverview, FL 33578
Phone (813) 443-6369

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

601 7th St S
Ste 530
St Petersburg, FL 33701
Phone (727) 322-4228

6101 Webb Rd
Ste 203
Tampa, FL 33615
Phone (813) 884-4794

5919 Webb Rd
Tampa, FL 33615
Phone (813) 290-0422

6101 Webb Rd
Ste 104
Tampa, FL 33615
Phone (813) 290-0422

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1386201408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 62ND STREET CIR E STE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086208",
            "telephone_number": "941-243-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLON",
        "first_name": "AMADO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.