CASTILLO PRIMARY CARE
NPI 1912293374
Clinic/Center - Primary Care in Pueblo, CO

Active since June 23, 2011CLIA 06D2030568 · Waiver
1401 ANITA ST, PUEBLO, CO 81001(719) 225-6510(719) 542-3514 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Castillo Primary Care NPPES

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

CASTILLO PRIMARY CARE (NPI 1912293374) is a healthcare organization registered as a primary care in Pueblo, Colorado and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Pauline S. Castillo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1912293374
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCASTILLO PRIMARY CARE
Location Address1401 ANITA STPueblo, CO 81001-2122
Mailing Address1401 Anita StPueblo, CO 81001-2122 · (719) 225-6510 · Fax (719) 542-3514
Fax(719) 542-3514
Organization SubpartNo
Authorized OfficialPauline S. CastilloOwner/provider · (719) 225-6510
Enumeration DateJune 23, 2011
Last NPPES UpdateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1912293374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CO · 4815
1401 ANITA ST, Pueblo, CO 81001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Castillo Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Castillo Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1114878972
1401 ANITA ST
Pueblo, CO 81001
(719) 225-6510
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1144297185
1401 ANITA ST
Pueblo, CO 81001
(719) 225-6510
✔ PECOSSame address
Nurse Practitioner
NPI 1679267090
4102 PINION DR
Usaf Academy, CO 80840
(800) 465-3203
✔ PECOS51 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2030568

Castillo Primary Care · Pueblo, CO
Active · expires Sep 28, 2027
CLIA Number06D2030568
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorPauline S. Castillo
Laboratory Phone(719) 225-6510
Laboratory LocationCastillo Primary Care1401 Anita St, Pueblo, CO 81001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Castillo Primary Care's NPI number?

The NPI number for Castillo Primary Care is 1912293374. It was assigned to this organization in the NPPES registry on June 23, 2011.

Where is Castillo Primary Care located?

Castillo Primary Care is located at 1401 Anita St, Pueblo, CO 81001. The listed phone number is (719) 225-6510.

What is Castillo Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Castillo Primary Care enrolled in Medicare?

Yes. Castillo Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Castillo Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Castillo Primary Care, in Certified Clinical Nurse Specialist (CNS) 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Castillo Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2030568) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Castillo Primary Care was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.