MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1114652765

MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 851962 (NV). The NPI Number for MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) is 1114652765

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)
NPI
1114652765
Phone
(580) 917-1393
Address
9722 GIFTHOUSE ST
Enumeration Date
19 July 2022
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2021 (5 years ago)
PAC ID
0446626733
Group Practice PAC ID
1557454410
Professional Enrollment ID
I20221011001343
Address ID
NV891231015LA8116XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)

  • 9722 GIFTHOUSE ST

    LAS VEGAS, NV 891784866

    Phone: (580) 917-1393

    Type: Mailing

  • 8116 LAS VEGAS BLVD S

    LAS VEGAS, NV 891231015

    Phone: (702) 407-7063

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Phadia US Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Phadia US Inc.$87
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: 2022-10-11

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
I20221011001343INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99213Established patient office or other outpatient visit, 20-29 minutes3434$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3030$0
99202New patient office or other outpatient visit, 15-29 minutes1919$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 89178)

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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: 1557454410View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerNV
-NV
Nurse PractitionerIN
Nurse PractitionerTX
-NV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerHI

Reviews

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Frequently asked questions

How do payers reference MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)?
For MARK DOMINIC CASTANAGA (NURSE PRACTITIONER), use NPI 1114652765 as the unique 10-digit identifier.
Is MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) maintains an active NPI.
What clinical focus is listed for MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)?
At a glance, MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)?
Directory geography for MARK DOMINIC CASTANAGA (NURSE PRACTITIONER) centers on Las Vegas, Nevada.
Can I trust this NPI listing for MARK DOMINIC CASTANAGA (NURSE PRACTITIONER)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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