STELLAR FAMILY MEDICAL CLINIC LLC
NPI 1285408161
Nurse Practitioner - Family in Surprise, AZ

Active since November 10, 2023
15044 W GEORGIA DR, SURPRISE, AZ 85379(602) 637-3084 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stellar Family Medical Clinic Llc NPPES

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

STELLAR FAMILY MEDICAL CLINIC LLC (NPI 1285408161) is a healthcare organization registered as a family in Surprise, Arizona and active in the NPI registry since November 2023. The organization lists Josefina Castelo, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1285408161
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSTELLAR FAMILY MEDICAL CLINIC LLC
Location Address15044 W GEORGIA DRSurprise, AZ 85379-4249
Mailing Address15044 W Georgia DrSurprise, AZ 85379-4249
Organization SubpartNo
Authorized OfficialJosefina CasteloOwner/ Provider · (602) 637-3084
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1285408161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
15044 W GEORGIA DR, Surprise, AZ 85379

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stellar Family Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stellar Family Medical Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1467423772
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-1000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1346613908
2033 E WARNER RD STE 109
Tempe, AZ 85284
(480) 820-5525
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stellar Family Medical Clinic LLC's NPI number?

The NPI number for Stellar Family Medical Clinic LLC is 1285408161. It was assigned to this organization in the NPPES registry on November 10, 2023.

Where is Stellar Family Medical Clinic LLC located?

Stellar Family Medical Clinic LLC is located at 15044 W Georgia Dr, Surprise, AZ 85379. The listed phone number is (602) 637-3084.

What is Stellar Family Medical Clinic LLC's specialty?

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

Is Stellar Family Medical Clinic LLC enrolled in Medicare?

Yes. Stellar Family Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stellar Family Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Stellar Family Medical Clinic LLC, in General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stellar Family Medical Clinic LLC was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.