Active NPI
Anna Marie Casillas, ARNP
- Family Medicine Physician
- Mount Vernon, WA
National Provider Identifier
1912469198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP60942913
- Practice address
- 2021 E College Way Ste 210
Mount Vernon, WA 98273-2373 - Phone
- (360) 755-3670
- Fax
- (360) 873-8697
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP60942913 | WA | Primary |
Addresses
Primary practice location
2021 E College Way Ste 210
Mount Vernon, WA 98273-2373
Mailing address
1317 Fir LN
Mount Vernon, WA 98273-2535
Phone (064) 792-5444
Other practice location 1
1317 Fir Ln
Mount Vernon, WA 98273-2535
Phone (406) 792-5444
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220622001911 | WA | Practitioner - Nurse Practitioner | 6608296215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60942913 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Casillas Arnp PLLC | Current | Accepting new patients | |
| Danielh. Belcher, M.D. Inc | Past | Accepting new patients | |
| Hilo Academic Physicians Inc | Family Medicine | Past | Accepting new patients |
Locations
2021 E College Way
Ste 210
Mount Vernon, WA 98273
Phone (360) 755-3670
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EACABD
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.
-
- Primary Care Clinic/Center
- Mount Vernon, WA
- NPI 1982478160
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1366611600
-
- Family Medicine Physician
- Hilo, HI
- NPI 1417987306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1912469198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 FIR LN",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732535",
"telephone_number": "064-792-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E COLLEGE WAY STE 210",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732373",
"telephone_number": "360-755-3670",
"fax_number": "360-873-8697"
}
],
"practiceLocations": [
{
"address_1": "1317 Fir Ln",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982732535",
"country_code": "US",
"telephone_number": "406-792-5444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASILLAS",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "AP60942913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.