ANDREA ELENA CASTILLO (FNP-BC) – Family Nurse Practitioner, NPI 1104476647

ANDREA ELENA CASTILLO (FNP-BC) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APRN002939 (NV). The NPI Number for ANDREA ELENA CASTILLO (FNP-BC) is 1104476647

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA ELENA CASTILLO (FNP-BC)
NPI
1104476647
Phone
(702) 310-9110
Address
1701 WELLNESS WAY STE 200
Enumeration Date
17 September 2019
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026847800
Graduation Year
2017 (9 years ago)
PAC ID
6800228321
Group Practice PAC ID
6204156763
Professional Enrollment ID
I20191120003257
Address ID
NV891281400LA2801XWAYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for ANDREA ELENA CASTILLO (FNP-BC)

  • Wellness Way, Las Vegas, Clark County, Nevada, 89102-2333, United States

    LAS VEGAS, NV 891064146

    Phone: (702) 310-9110

    Type: Location

  • 4378 VELVET RIDGE CT

    LAS VEGAS, NV 891292624

    Phone: (713) 294-3389

    Type: Mailing

  • 2801 N TENAYA WAY STE C

    LAS VEGAS, NV 891281400

    Phone: (702) 684-7800

    Fax: (833) 438-3680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $754.

Total Amount is formed as General ($754) + Research ($0) + Ownership ($0) = $754.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($194).

Total Amount

$754

General + Research + Ownership

Payments

28

Total payment records

General Amount

$754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191120003257INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204156763View full group profile
NameSpecialtyState
Nurse PractitionerNV
Family PracticeNV
General Practice, Emergency MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerAZ
Nurse PractitionerNV
Nurse PractitionerNV
Family PracticeNV
General PracticeNV

Reviews

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Frequently asked questions

How do I look up ANDREA ELENA CASTILLO (FNP-BC) by NPI?
Use NPI 1104476647 when you need to reference ANDREA ELENA CASTILLO (FNP-BC) in forms, claims, or directories.
Is ANDREA ELENA CASTILLO (FNP-BC) active in the national directory?
ANDREA ELENA CASTILLO (FNP-BC)'s public NPI profile is in an active state.
What field does ANDREA ELENA CASTILLO (FNP-BC) work in?
You can think of ANDREA ELENA CASTILLO (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for ANDREA ELENA CASTILLO (FNP-BC)?
We surface Las Vegas, Nevada for ANDREA ELENA CASTILLO (FNP-BC) based on available NPPES addresses.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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