Active NPI
Fermin Cruz Castellanos, AGACNP-AG
- Acute Care Nurse Practitioner
- Palestine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1169544
- Practice address
- 300 Willow Creek Pkwy Ste 200
Palestine, TX 75801-4433 - Phone
- (903) 221-0138
- Fax
- (903) 221-0137
- NPI assigned
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1169544 | TX | Primary |
Addresses
Primary practice location
300 Willow Creek Pkwy Ste 200
Palestine, TX 75801-4433
Mailing address
1004 W Reagan St
Palestine, TX 75801-2276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
300 Willow Creek Pkwy
Suite 200
Palestine, TX 75801-4433
Phone (903) 221-0138
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pallicare, Inc | Current | Accepting new patients | |
| Restrata Health Group PLLC | Current | Accepting new patients |
Locations
300 Willow Creek Pkwy
Ste 200
Palestine, TX 75801
Phone (903) 221-0138
703 S Mill St
Winnsboro, TX 75494
Phone (903) 342-5261
Interoperability endpoints
- fermin.cruz.castellanos.1@15408.direct.athenahealth.com
- fercruz@tfhc.kareodirect.com
- fermin.cruz.castellanos.1@34366.direct.athenahealth.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 and National Provider Directory roles.
-
- Community Health Nurse Practitioner
- Texarkana, TX
- NPI 1316511884
-
- Rural Health Clinic/Center
- Palestine, TX
- NPI 1811719537
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palestine, TX
- NPI 1164510673
-
- Rehabilitation Hospital
- Palestine, TX
- NPI 1326113762
-
- Home Health Agency
- Palestine, TX
- NPI 1831194018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1669200473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W REAGAN ST",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758012276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WILLOW CREEK PKWY STE 200",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758014433",
"telephone_number": "903-221-0138",
"fax_number": "903-221-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ CASTELLANOS",
"first_name": "FERMIN",
"credential": "AGACNP-AG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1169544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.