Individual provider Active NPI

Christopher Castello, FNP

  • Nurse Practitioner
  • Cut Bank, MT
National Provider Identifier
1801362199
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010342A Issued in IN
Practice address
802 2ND St SE
Cut Bank, MT 59427-3329
Phone
(406) 873-2251
Fax
(406) 873-3118
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132522 MT
Nurse Practitioner 363L00000X 71010342A IN Primary

Addresses

Primary practice location

802 2ND St SE
Cut Bank, MT 59427-3329

Mailing address

802 2ND St SE
Cut Bank, MT 59427-3329
Phone (406) 873-2251

Other practice location 1

5511 E 82nd St Ste J
Indianapolis, IN 46250-4515
Phone (317) 284-6847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201001000872 IN Practitioner - Nurse Practitioner 2264777127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

555 E County Line Rd
Suite 101
Greenwood, IN 46143-1064
Phone (240) 778-6164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010342AINMDNurse Practitioner
132522MTMDFamily 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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1801362199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND ST SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273329",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273329",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 E 82nd St Ste J",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504515",
            "country_code": "US",
            "telephone_number": "317-284-6847",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLO",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "132522",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010342A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cut Bank, MT

Sources for this page

Verify at the official NPI Registry.