Active NPI
Melissa Lynn Castilleja, MSN, APRN, AGACNP-BC
- Acute Care Nurse Practitioner
- Toledo, OH
National Provider Identifier
1679256895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.0034080
- Practice address
- 4235 Secor Rd
Toledo, OH 43623-4299 - Phone
- (419) 473-3561
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- 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 | APRN.CNP.0034080 | OH | Primary |
Addresses
Primary practice location
4235 Secor Rd
Toledo, OH 43623-4299
Mailing address
1374 Doncogan CT
Perrysburg, OH 43551-1179
Phone (419) 270-4517
Other practice location 1
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
Other practice location 2
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0034080 | OH | MD | Acute Care Nurse Practitioner |
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1679256895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 DONCOGAN CT",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511179",
"telephone_number": "419-270-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234299",
"telephone_number": "419-473-3561"
}
],
"practiceLocations": [
{
"address_1": "2142 N Cove Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063895",
"country_code": "US",
"telephone_number": "419-291-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harroun Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602168",
"country_code": "US",
"telephone_number": "419-824-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLEJA",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "MSN, APRN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0034080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.