Individual provider Active NPI

Emily Ann Castille, APRN

  • Family Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1649014861
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033295 Issued in FL
Practice address
5976 Staff Rd
Crestview, FL 32536-9310
Phone
(251) 236-2355
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 APRN11033295 FL Primary

Addresses

Primary practice location

5976 Staff Rd
Crestview, FL 32536-9310

Mailing address

5976 Staff Rd
Crestview, FL 32536-9310
Phone (251) 236-2355

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
I20240910002745 FL Practitioner - Nurse Practitioner 9335689926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Psychiatry LLCGroup PAC ID 0749529261, 5 clinicians
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

201 N Blue Heron Dr
Santa Rosa Beach, FL 32459-3039
Phone (850) 687-0887

500 Hospital Dr
Crestview, FL 32539-7355
Phone (850) 689-3146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11033295FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Aug 15, 2025 Accepting new patients
Southern Psychiatry LLC Family CurrentSince Aug 16, 2024 Accepting new patients

Locations

500 Hospital Dr
Crestview, FL 32539
Phone (850) 689-3146

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

3906 US Highway 98 W
#1522
Santa Rsa Bch, FL 32459

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 2

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 1

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1649014861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 STAFF RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369310",
            "telephone_number": "251-236-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 STAFF RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369310",
            "telephone_number": "251-236-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLE",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.