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

Individual provider Nurse Practitioner · NPI 1114652765

Mark Dominic Castanaga, NURSEPRACTITIONER is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2021, 5 years ago. Practices with Mc Medical Group of Nevada, PC, a 29-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

8116 Las Vegas Blvd S
Las Vegas, NV 89123-1015
Phone: (702) 407-7063
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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 851962 (NV)
Nurse Practitioner Taxonomy 363L00000X · Licence 851962 (NV)

Record details

NPI number1114652765
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mc Medical Group Of Nevada, P.C — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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