NPIMap

Individual provider Active NPI

Valerie J Castillo, CNP

  • Nurse Practitioner
  • Clyde, OH
National Provider Identifier
1407382179
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.019728 Issued in OH
Practice address
455 W McPherson Hwy
#B
Clyde, OH 43410-1132
Phone
(419) 333-2798
NPI assigned
May 2, 2017
Last updated
May 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.019728 OH Primary

Addresses

Primary practice location

455 W McPherson Hwy
#B
Clyde, OH 43410-1132

Mailing address

455 W McPherson Hwy
#B
Clyde, OH 43410-1132
Phone (419) 334-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620002514 OH Practitioner - Nurse Practitioner 5294003091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Services of Erie CountyGroup PAC ID 0749345296, shared by 21 NPIs, 25 clinicians

Practice addresses (Care Compare)

1912 Hayes Ave
Sandusky, OH 44870-4736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Professional Services LTD CurrentSince Jun 1, 2017 Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients

Locations

455 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-3558

455 W McPherson Hwy
#A
Clyde, OH 43410

455 W McPherson Hwy
#B
Clyde, OH 43410
Phone (419) 333-2798

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

Interoperability endpoints

  • Direct secure messaging: vcastillo96220@direct.promedica.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1407382179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W MCPHERSON HWY",
            "address_2": "#B",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101132",
            "telephone_number": "419-334-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W MCPHERSON HWY",
            "address_2": "#B",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101132",
            "telephone_number": "419-333-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

Verify at the official NPI Registry.