Individual provider Active NPI

Lisa Castor, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1902826084
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001627A Issued in IN
Practice address
1427 W 86TH St
Suite 152
Indianapolis, IN 46260-2103
Phone
(317) 771-1140
Fax
(317) 780-5532
NPI assigned
Jul 20, 2006
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001627A IN Primary

Addresses

Primary practice location

1427 W 86TH St
Suite 152
Indianapolis, IN 46260-2103

Mailing address

1427 W 86TH St
Suite 152
Indianapolis, IN 46260-2103
Phone (317) 771-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040213000093 IN Practitioner - Nurse Practitioner 5597659193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians
Brookside Medical Home Visits LLCGroup PAC ID 8325389984, 8 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

265 W County Rd 850
Clay City, IN 47841-8210
Phone (812) 229-8707

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Dec 9, 2019 Accepting new patients
Brookside Medical Home Visits LLC CurrentSince Jun 8, 2024 Accepting new patients
Major Hospital CurrentSince Dec 9, 2019 Accepting new patients
Brookside Medical Home Visits LLC CurrentSince Jun 8, 2024 Accepting new patients
Wound Care Specialists of Indiana PC Past Accepting new patients
Hancock Physician Network, LLC Past Accepting new patients

Locations

1601 Medical Arts Blvd
Ste 201
Anderson, IN 46011
Phone (765) 298-4500

1200 W Carmel Dr
Ste 103
Carmel, IN 46032
Phone (317) 709-0706

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

6910 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-6337

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

Interoperability endpoints

  • Direct secure messaging: lisa.castor.1@28056.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1902826084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE 152",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103",
            "telephone_number": "317-771-1140",
            "fax_number": "317-780-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE 152",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103",
            "telephone_number": "317-771-1140",
            "fax_number": "317-780-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001627A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.