NEREMIAH JOAKIM CASTANO, MSN, RN (NP/CNS/PHN) appears in the CMS NPPES registry as a Registered Nurse provider holding MSN, RN (NP/CNS/PHN) credentials at 3855 HEALTH SCIENCES DR, LA JOLLA, CA, 92093, with a listed phone of (858) 822-7874. NPI 1437190071 was issued on 06/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTANO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 981 prescription claims written by this provider, covering 250 Medicare beneficiaries and totaling roughly $88K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 1.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.