Individual provider Active NPI

Roberto Castillo Macairan, APRN

  • Gerontology Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1831027697
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11047176 Issued in FL
Practice address
801 Highway 466 Ste B101
Lady Lake, FL 32159-3925
Phone
(352) 633-7649
Fax
(352) 633-7694
NPI assigned
May 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11047176 FL Primary

Addresses

Primary practice location

801 Highway 466 Ste B101
Lady Lake, FL 32159-3925

Mailing address

PO Box 658
Fruitland Park, FL 34731-0658
Phone (352) 633-7649

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
I20260605001666 FL Practitioner - Nurse Practitioner 3577034099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

235 S Maitland Ave
Suite 108
Maitland, FL 32751-5652

PO Box
Suite 658
Fruitland Park, FL 34731-0658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11047176FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman S Novis MD PA PastSince Dec 15, 2012 Accepting new patients

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": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1831027697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347310658",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 466 STE B101",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593925",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAIRAN",
        "first_name": "ROBERTO",
        "middle_name": "CASTILLO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11047176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.