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Active NPI 1679351258 Individual Practitioner Male Practitioner

Nicolas Castaneda , APRN, CNP

Nurse Practitioner • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicolas Castaneda, APRN, CNP is a certified Nurse Practitioner practicing in Kenosha, WI. With approximately 4 years of clinical experience since completing medical education in 2022, Nicolas Castaneda delivers high-quality medical care to the local community at 10400 75TH ST.

Nicolas Castaneda is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10400 75th St

Kenosha, WI 531428323

Telephone 2629485600
Associated Practice Facility / Clinic
🏢 Mea-Aea Kenosha Sc Facility NPI 1477546737

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kenosha, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
76 Specialists

Practicing in Kenosha, WI (4030 Statewide)

Telehealth Adoption Rate
9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Castaneda (4 Years) 4 Yrs
Kenosha Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
133 122 $434.00 $157.06
93000 Routine ekg using at least 12 leads including interpretation and report
47 47 $140.00 $12.63

Medical Specialties & State Licenses

CMS Verified: 2025-12-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 16672-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209.028122

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100381333 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Uzma Rezvi , MD

Anesthesiology

NPI 1003256850

Doctor of Medicine (M.D.)

Paula Osgood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043509268

Certified Registered Nurse Anesthetist

Dorothy Free

Nurse Anesthetist, Certified Registered

NPI 1053700682
Dana Madden

Physician Assistant

NPI 1073338596
Alison Ketterhagen , PA-C

Physician Assistant

NPI 1083036123

Physician Assistant (Certified)

NPI 1083660070

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 18, 2025

Registered at 10400 75TH ST, KENOSHA, WI 531428323 (Tel: 2629485600)

📍
Updated Business Mailing Address October 18, 2025

Registered at 10400 75TH ST, KENOSHA, WI 531428323 (Tel: 2629485600)

📍
Updated Business Mailing Address July 29, 2024

Registered at 1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 600451658 (Tel: 8475343278)

👤
Provider Name / Credentials Updated July 29, 2024

Recorded as NICOLAS CASTANEDA, APRN, CNP

📍
Updated Practice Location May 21, 2024

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8475343278)

📍
Updated Practice Location January 26, 2024

Registered at 3471 GREEN BAY ROAD, NORTH CHICAGO, IL 600643037 (Tel: 8475788670)

NPI Profile Active September 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2023

Registered at 3333 GREEN BAY RD, NORTH CHICAGO, IL 600643037 (Tel: 8475788670)

📍
Updated Business Mailing Address September 15, 2023

Registered at 3471 GREEN BAY ROAD, NORTH CHICAGO, IL 60064 (Tel: 8475788670)

👤
Provider Name / Credentials Updated September 15, 2023

Recorded as NICOLAS CASTANEDA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2023

Nurse Practitioner (License #209.028122 in IL)

🟢
Initial NPI Registration & Enumeration September 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679351258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2023
Last Update: December 04, 2025
Sole Proprietor: No

Mailing Address

10400 75th St

Kenosha, WI 531428323

Phone: 2629485600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.