SAN JUANITA CASTELLANO, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 1515 S MOONEY BLVD STE 201, VISALIA, CA, 93277, with a listed phone of (559) 295-9157. NPI 1023440187 was issued on 07/31/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTELLANO 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 1,064 prescription claims written by this provider, covering 727 Medicare beneficiaries and totaling roughly $15K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 1.8%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 30/100 for the 2023 performance year (Quality 0, Cost 100), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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.