Individual provider Active NPI

Anna Marie Casillas, ARNP

  • Family Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1912469198
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP60942913 Issued in WA
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

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001911 WA Practitioner - Nurse Practitioner 6608296215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60942913WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Casillas Arnp PLLC CurrentSince Nov 12, 2023 Accepting new patients
Danielh. Belcher, M.D. Inc PastSince Nov 1, 2021 Accepting new patients
Hilo Academic Physicians Inc Family Medicine PastSince Sep 1, 2019 Accepting new patients

Locations

2021 E College Way
Ste 210
Mount Vernon, WA 98273
Phone (360) 755-3670

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.