MEDICARE: SARAH CASTRO MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209033428	IL
2	363L00000X	Nurse Practitioner	88398	NM
3	363LF0000X	Family Nurse Practitioner	113613	NE
4	363LF0000X	Family Nurse Practitioner	38690	TN
5	363L00000X	Nurse Practitioner	1228798	TX
6	363LF0000X	Family Nurse Practitioner	3-002793	AL
7	363LF0000X	Family Nurse Practitioner	A170672	IA
8	363L00000X	Nurse Practitioner	0041750	OH

General Provider Information

NPI Number	:	1356919658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CASTRO MSN, FNP-BC

Provider Business Mailing Address
First Line	:	17315 PINE CIR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68130-1132
Country	:	US
Telephone Number	:	531-359-4002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 FORT CROOK RD S
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3061
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	03/17/2026

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