Individual provider Active NPI

Lindsey Ann Castleberry, PA-C

  • Physician Assistant
  • Spanish Fork, UT
National Provider Identifier
1497309322
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
114 E 800 N
Spanish Fork, UT 84660-1209
Phone
(801) 318-1168
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

114 E 800 N
Spanish Fork, UT 84660-1209

Mailing address

114 E 800 N
Spanish Fork, UT 84660-1209
Phone (801) 794-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20191227001036 UT Practitioner - Physician Assistant 5799119756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Dermatology PLLCGroup PAC ID 1355447863, 5 clinicians

Practice addresses (Care Compare)

1100 S Medical Dr
Mount Pleasant, UT 84647-2222
Phone (801) 794-1490

114 E 800
Spanish Fork, UT 84660-1209
Phone (801) 794-1490

123 N 500
Payson, UT 84651-1932
Phone (801) 465-8001

Merit-based Incentive Payment System (MIPS)

Final score
98.69 of 100Reported as group
Quality
97.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1497309322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601209",
            "telephone_number": "801-794-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601209",
            "telephone_number": "801-318-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.