Individual provider Active NPI

Natalie Flor Descallar Castillo, APRN FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1619669611
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026571 Issued in FL
Practice address
1503 Holly Oaks Lake Rd E
Jacksonville, FL 32225-4417
Phone
(347) 653-1594
NPI assigned
May 25, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11026571 FL Primary

Addresses

Primary practice location

1503 Holly Oaks Lake Rd E
Jacksonville, FL 32225-4417

Mailing address

1503 Holly Oaks Lake Rd E
Jacksonville, FL 32225-4417
Phone (347) 653-1594

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250115000237 FL Practitioner - Nurse Practitioner 6406384700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

1731 University Blvd S
Jacksonville, FL 32216-8928
Phone (904) 725-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11026571FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Dec 1, 2025 Accepting new patients
Memorial Family Practice Associates, LLC CurrentSince Dec 30, 2024 Accepting new patients
Memorial Family Practice Associates LLC Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

9400 Atlantic Blvd
Ste 11
Jacksonville, FL 32225
Phone (904) 775-3138

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: natalie.castillo@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1619669611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 HOLLY OAKS LAKE RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254417",
            "telephone_number": "347-653-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HOLLY OAKS LAKE RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254417",
            "telephone_number": "347-653-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "NATALIE FLOR",
        "middle_name": "DESCALLAR",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.