Yolanda Castaneda, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Willowbrook, IL
NPI 1851055313 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1851055313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.024154 (IL)
- Practice address
- 40 75TH St
Willowbrook, IL 60527-2325 - Phone
- (630) 581-5372
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cavero Medical Services LTD
Practice addresses (Care Compare)
4007 W 63Rd St
Chicago, IL 60629-4605
Phone (773) 767-2266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211216001275 | IL | Practitioner - Nurse Practitioner | 9335530823 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024154 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Express Care 2, Inc | Current |
Accepting new patients | |
| Cavero Medical Services LTD | Current |
Accepting new patients | |
| Midwest Express Care 2, Inc | Current |
Accepting new patients |
Locations
2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094
4007 W 63rd St
Chicago, IL 60629
Phone (773) 767-2266
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBJCDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.024154 | IL | Yes |
Addresses
Primary practice location
40 75TH St
Willowbrook, IL 60527-2325
Mailing address
40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
Other providers in Willowbrook, IL
- Joan T. Cardone
- Nicole Cardott
- Lynette Mae Carlson
- Carla A Carpenter
- Syreeta Monee Carter
- Center for Natural Therapies, LTD.
- Corinne Sullivan Cescolini
- Shivani Chadha
- Leon J Chambers
- Chateau Nursing and Rehabilitation Center, LLC
All providers in Willowbrook, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.