Individual provider Active NPI

Hazel Tabao Castro, APRN-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1851833107
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002638 Issued in NV
Practice address
3901 S Maryland Pkwy
Las Vegas, NV 89119-7537
Phone
(702) 982-7240
Fax
(702) 952-5444
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 209014354 IL
Nurse Practitioner 363L00000X APRN002638 NV Primary

Addresses

Primary practice location

3901 S Maryland Pkwy
Las Vegas, NV 89119-7537

Mailing address

3901 S Maryland Pkwy
Las Vegas, NV 89119-7537
Phone (702) 982-7240

Other identifiers 1

IdentifierTypeStateIssuer
1851833107MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20180117000001 NV Practitioner - Nurse Practitioner 2567743982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Noel R. Fajardo MD, PCGroup PAC ID 3971768540, 6 clinicians

Practice addresses (Care Compare)

3901 S Maryland Pkwy
Las Vegas, NV 89119-7537
Phone (702) 982-7240

Merit-based Incentive Payment System (MIPS)

Final score
86.21 of 100Reported as group
Quality
78.16
Improvement activities
40
Cost
75.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002638NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noel R. Fajardo MD PC CurrentSince Apr 21, 2019 Accepting new patients
Platinum Hospitalists LLP CurrentSince Nov 22, 2017 Accepting new patients
Platinum Hospitalists LLP CurrentSince Nov 22, 2017 Accepting new patients
Dignity Health Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

3901 S Maryland Pkwy
Las Vegas, NV 89119
Phone (702) 982-7240

7315 S Pecos Rd
#101
Las Vegas, NV 89120

7315 S Pecos Rd
Ste 101
Las Vegas, NV 89120
Phone (702) 982-7240

3910 S Maryland Pkwy
Ste 9B
Las Vegas, NV 89119
Phone (702) 982-7240

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Organizations & group practices 4

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1851833107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197537",
            "telephone_number": "702-982-7240",
            "fax_number": "702-952-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197537",
            "telephone_number": "702-982-7240",
            "fax_number": "702-952-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "HAZEL",
        "middle_name": "TABAO",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014354",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851833107",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.