Katy Hernandez Castro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009964 Issued in FL

Practice address

4116 Symco Ave
North Port, FL 34286-4205

Phone

(941) 250-2297

NPI assigned

Oct 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charlotte Pain Management Center IncGroup PAC ID 6800962176, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.37 of 100Reported as group

Quality

71.1

Improvement activities

40

Cost

78.74

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4
• Direct secure messaging: katy.hernandez.castro.1@3611.direct.athenahealth.com

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.

• Charlotte Pain Management Center Inc

  • General Practice Physician
  • Port Charlotte, FL
  • NPI 1275797714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1396345930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045750",
            "telephone_number": "239-772-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 SYMCO AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342864205",
            "telephone_number": "941-250-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CASTRO",
        "first_name": "KATY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Helmick
• Keon Henry
• Sophia Henry
• Tamara A Hepburn, DPT
• Yohana Hernandez Alvarez
• Lilian Angelina Hernandez Guillen
• Angelynn Hernandez
• Miranda Hernandez
• Tatiana Herrera Perez
• Jesse S Hicks, O.D.

• Family Nurse Practitioner in North Port, FL
• Providers in North Port, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.