Crystal Castillo, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Deming, NM
NPI 1417751884 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1417751884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 74846 (NM)
- Practice address
- 1020 S 8TH St
Deming, NM 88030-4007 - Phone
- (575) 936-4350
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southwest Pediatric and Family Care, LLC
Practice addresses (Care Compare)
1020 S 8TH St
Suite a
Deming, NM 88030-4007
Phone (575) 936-4350
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250528002972 | NM | Practitioner - Nurse Practitioner | 8022537448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74846 | NM | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Pediatric and Family Care, LLC | Current |
Accepting new patients | |
| Sunset Mountain Medical LLC | Current | Accepting new patients |
Locations
1020 S 8th St
Ste A
Deming, NM 88030
Phone (575) 936-4350
1020 S 8th St
Deming, NM 88030
Phone (505) 546-1059
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 74846 | NM | Yes |
Addresses
Primary practice location
1020 S 8TH St
Deming, NM 88030-4007
Mailing address
4665 Hondale Rd SW
Deming, NM 88030-0670
Phone (575) 993-1007
Other providers in Deming, NM
- Mary Ann Calvillo
- Hilda A Camunez
- Nadia L Cano Vazquez
- Luis A Carreon
- John Cassity
- Marco A. Cervantes
- Roseanne Chadborn
- Miranda Chavez
- City of Deming
- Yvonne Contreras
All providers in Deming, NM · Primary Care Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.