RAFAEL CASTELLANOS
NPI 1720820657
Nurse Practitioner - Psychiatric/Mental Health in Tupper Lake, NY

Q: What is Rafael Castellanos's NPI number?

The NPI number for Rafael Castellanos is 1720820657. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Rafael Castellanos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 11, 2024PECOS Enrolled

2445 STATE ROUTE 30, TUPPER LAKE, NY 12986(518) 359-3311 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2025, Jun 11, 2024 (2 updates tracked since 2024).

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About Rafael Castellanos NPPES

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

RAFAEL CASTELLANOS (NPI 1720820657) is an individual psychiatric/mental health provider in Tupper Lake, New York, licensed in New York (406090) and active in the NPI registry since June 2024. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720820657

Entity TypeIndividual

Primary Taxonomy363LP0808X

Provider Legal NameRAFAEL CASTELLANOS

Location Address2445 STATE ROUTE 30Tupper Lake, NY 12986-2502

Mailing Address2445 State Route 30Tupper Lake, NY 12986-2502

Phone(518) 359-3311

Sole ProprietorYes

Enumeration DateJune 11, 2024

Last NPPES UpdateMarch 2, 20252 updates tracked since enumeration

NPPES CertifiedMarch 2, 2025

✔ NPI 1720820657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 406090

2445 STATE ROUTE 30, Tupper Lake, NY 12986

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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 (PECOS)

Rafael Castellanos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12986 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 10

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

STATE OF NEW YORK

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