Active NPI
Jeffrey J Castillo, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 830571
- Practice address
- 9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253 - Phone
- (702) 878-0070
- Fax
- (702) 209-2064
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 830571 | NV | Primary |
Addresses
Primary practice location
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Mailing address
PO Box 840857
Dallas, TX 75284-0857
Phone (702) 878-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210226001432 | NV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466867312 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTD
Practice addresses (Care Compare)
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000
9127 W Russell Rd
Suite 110
Las Vegas, NV 89148-1253
Phone (702) 878-0700
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
- Henderson Hospital
- Spring Valley Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fielden Hanson Isaacs Miyada Robison Yeh LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
Nurse Anesthetist, Certified Registered, NV
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 7
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": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1952907255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840857",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840857",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9127 W RUSSELL RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481253",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "830571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.