MARK DOMINIC CASTANAGA NURSE PRACTITIONER
NPI 1114652765
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Mark Castanaga's NPI number?

The NPI number for Mark Castanaga is 1114652765. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Mark Castanaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Castanaga was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment

84.61/100

CMS Quality Rating

8116 LAS VEGAS BLVD S, LAS VEGAS, NV 89123(702) 407-7063 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, Jul 19, 2022 (2 updates tracked since 2022).

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About Mark Dominic Castanaga Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK DOMINIC CASTANAGA NURSE PRACTITIONER (NPI 1114652765) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (851962) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114652765

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARK DOMINIC CASTANAGACredential: NURSE PRACTITIONER

Location Address8116 LAS VEGAS BLVD SLas Vegas, NV 89123-1015

Mailing Address9722 Gifthouse StLas Vegas, NV 89178-4866 · (580) 917-1393

Phone(702) 407-7063

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 19, 2022

Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1114652765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 851962

Also ListedNurse PractitionerTaxonomy 363L00000X · License 851962 (NV)

8116 LAS VEGAS BLVD S, Las Vegas, NV 89123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Dominic Castanaga Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446626733

PECOS Enrollment IDI20221011001343

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

30 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.16

Improvement Activities

Cost

96.07

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA NIWA YMBALLA FNP

Nurse Practitioner (Family)