Individual provider Active NPI

Maria J Castillo, ARNP

  • Family Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1902140965
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60111167 Issued in WA
Practice address
6115 Burden Blvd Ste D
Pasco, WA 99301-0010
Phone
(509) 488-5256
Fax
(509) 488-9939
NPI assigned
Nov 15, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60111167 WA Primary

Addresses

Primary practice location

6115 Burden Blvd Ste D
Pasco, WA 99301-0010

Mailing address

1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256

Other practice location 1

7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292
Phone (509) 416-8888

Other practice location 2

1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256 ext. 8512

Other practice location 3

5304 N Road 68
Pasco, WA 99301-9189
Phone (509) 543-9300

Other practice location 4

1051 Columbia Ave
Connell, WA 99326-8702
Phone (509) 488-5256

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.castillo.1@18485.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20121228000423 WA Practitioner - Nurse Practitioner 8527211432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60111167WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Health Association Nurse Practitioner CurrentSince Jun 20, 2024 Accepting new patients
Columbia Basin Health Association CurrentSince Jun 20, 2024 Accepting new patients
Lourdes Hospital LLC CurrentSince Sep 1, 2018 Accepting new patients
Lourdes Hospital LLC Current Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Columbia Basin Health Association Past Accepting new patients
Our Lady of Lourdes Hospital at Pasco Past Accepting new patients

Locations

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

507 N 5th Ave
Pasco, WA 99301
Phone (509) 543-1975

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

5304 Road 68
Pasco, WA 99301
Phone (509) 543-9300

6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512

7405 Three Rivers Dr
Pasco, WA 99301
Phone 5094885256 ext. 8512

7425 Wrigley Dr
Pasco, WA 99301
Phone (509) 416-8888

7425 Wrigley Dr
Ste 100
Pasco, WA 99301
Phone (509) 416-8888

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

Interoperability endpoints

  • Direct secure messaging: maria.castillo.1@18485.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1902140965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E COLUMBIA ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441846",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 BURDEN BLVD STE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993010010",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Wrigley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015292",
            "country_code": "US",
            "telephone_number": "509-416-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Othello",
            "state": "WA",
            "postal_code": "993441846",
            "country_code": "US",
            "telephone_number": "509-488-5256 x8512",
            "fax_number": "509-488-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5304 N Road 68",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993019189",
            "country_code": "US",
            "telephone_number": "509-543-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Connell",
            "state": "WA",
            "postal_code": "993268702",
            "country_code": "US",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60111167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.castillo.1@18485.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7425 Wrigley Dr Ste 100",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993015292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.