Individual provider Active NPI

Brismay Castellon, ARNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1902275183
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9261083 Issued in FL
Practice address
14645 NW 77TH Ave Ste 104
Miami Lakes, FL 33014-2569
Phone
(786) 656-0428
Fax
(786) 656-0437
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 ARNP9261083 FL Primary

Addresses

Primary practice location

14645 NW 77TH Ave Ste 104
Miami Lakes, FL 33014-2569

Mailing address

8821 NW 179TH LN
Hialeah, FL 33018-6509
Phone (305) 342-0651

Other practice location 1

8821 NW 179th Ln
Hialeah, FL 33018-6509
Phone (305) 342-0651

Other practice location 2

2151 45th St Ste 107
West Palm Beach, FL 33407-2006
Phone (786) 656-0428

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
I20160525001531 FL Practitioner - Nurse Practitioner 3274609938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose V Perez DO PAGroup PAC ID 4587973284, 10 clinicians

Practice addresses (Care Compare)

15538 NW 83Rd PL
Miami Lakes, FL 33016-5862
Phone (305) 322-7582

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Care Medical & Wellness Group, LLC Family CurrentSince Jan 22, 2021 Accepting new patients
Jose V Perez DO PA CurrentSince Jan 6, 2016 Accepting new patients

Locations

19301 SW 87th Ave
Cutler Bay, FL 33157
Phone (305) 256-3500

14645 NW 77th Ave
Ste 104
Miami Lakes, FL 33014
Phone (305) 989-5710

2151 45th St
Ste 107
West Palm Beach, FL 33407
Phone (561) 844-2233

1701 NE 26th St
Wilton Manors, FL 33305
Phone (386) 562-4899

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1902275183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 NW 179TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186509",
            "telephone_number": "305-342-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 NW 77TH AVE STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142569",
            "telephone_number": "786-656-0428",
            "fax_number": "786-656-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8821 NW 179th Ln",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330186509",
            "country_code": "US",
            "telephone_number": "305-342-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 45th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072006",
            "country_code": "US",
            "telephone_number": "786-656-0428",
            "fax_number": "786-656-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLON",
        "first_name": "BRISMAY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9261083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.