Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katy Hernandez Castro

Individual provider Family Nurse Practitioner · NPI 1396345930

Katy Hernandez Castro is a Nurse Practitioner in North Port, Florida. Qualified in 2020, 6 years ago. Practices with Charlotte Pain Management Center Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

4116 Symco Ave
North Port, FL 34286-4205
Phone: (941) 250-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11009964 (FL)

Record details

NPI number1396345930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2020
Last updated in NPPESOctober 30, 2020
Certification dateOctober 12, 2020
Mailing address2500 Del Prado Blvd S, Cape Coral, FL 33904-5750

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Charlotte Pain Management Center Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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