Teresa Lynn Casteel, FNP
Individual provider Active NPI Nurse Practitioner · Albuquerque, NM
NPI 1427183458 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1427183458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP-03000 (NM)
- Practice address
- 715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3661 - Phone
- (505) 727-7090
- Fax
- (505) 727-7099
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Associates, LLC
Practice addresses (Care Compare)
4705 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87109-1233
Phone (505) 727-7833
Hospital & facility affiliations
- Lovelace Westside Hospital
- Lovelace Women'S Hospital
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 |
|---|---|---|---|---|
| I20160919002429 | NM | Practitioner - Nurse Practitioner | 1456658798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1565450 | MN | MD | Registered Nurse First Assistant |
| CNP-03000 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Urgent Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- tcasteel7230@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | R1565450 | MN | |
| Family Nurse Practitioner | 363LF0000X | APN.0992244-NP | CO | |
| Nurse Practitioner | 363L00000X | CNP-03000 | NM | Yes |
Addresses
Primary practice location
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3661
Mailing address
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3661
Phone (505) 727-7090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42372348 | Medicaid | NM |
Other providers in Albuquerque, NM
- Navyesca Castaneda
- Rito Castaneda
- Yvonne Castanedadelgado
- Brynn Rene Castanon
- Gabrielle Castanuela
- Lee Ryen Castell
- Erica Castellano
- Marcos Elvires Castellano
- Nicole Sierra Castellano
- Teresa Castellano
All providers in Albuquerque, NM · 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 Feb 2, 2017. 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.