Active NPI
Jennifer Lydia Castro, NP-C
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1831753508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F04190449
- Practice address
- 333 Montano Rd NW Ste A1
Albuquerque, NM 87107-5200 - Phone
- (505) 777-3003
- NPI assigned
- Apr 27, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F04190449 | NM | Primary |
Addresses
Primary practice location
333 Montano Rd NW Ste A1
Albuquerque, NM 87107-5200
Mailing address
PO Box 740018
Atlanta, GA 30374-0018
Phone (773) 352-1517
Other practice location 1
8428 Hawk Eye Rd NW
Albuquerque, NM 87120
Phone (505) 917-8413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F04190449 | Other | AANP CERTIFICATION BOARD |
Other names 1
- Jennifer Lydia Castro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Montano Rd NW
Suite A1
Albuquerque, NM 87107-5200
Phone (505) 777-3003
Hospital & facility affiliations
- Lovelace Westside Hospital
- Presbyterian Hospital
- Lovelace Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F04190449 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of New Mexico LLC | Family | Current | Accepting new patients |
| Vessel Health LLC | Current | Accepting new patients | |
| DLM Internal Medicine Inc | Past | Accepting new patients |
Locations
10601 4th St NW
Albuquerque, NM 87114
Phone (505) 828-3000
333 Montano Rd NW
Ste A1
Albuquerque, NM 87107
Phone (505) 355-1422
4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001
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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1134793151
Family
-
- Clinic/Center
- Albuquerque, NM
- NPI 1508191206
-
- Internal Medicine Physician
- Barboursville, WV
- NPI 1942546361
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1831753508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740018",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740018",
"telephone_number": "773-352-1517",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MONTANO RD NW STE A1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075200",
"telephone_number": "505-777-3003"
}
],
"practiceLocations": [
{
"address_1": "8428 Hawk Eye Rd NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87120",
"country_code": "US",
"telephone_number": "505-917-8413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO",
"first_name": "JENNIFER",
"middle_name": "LYDIA",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-27",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "F04190449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION BOARD",
"identifier": "F04190449",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CASTRO",
"middle_name": "LYDIA",
"credential": "NP-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.