CMS-1500 Box 24J / 33a • NPI
1265317895
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
246ZE0600X
Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic
Box 32 Service Location & ZIP+4
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV, 89117-7528
✓ 9-Digit EDI 837 ZIP+4 (89117-7528)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265317895 (BRIDGET JOY CASILLAS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265317895 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRIDGET JOY CASILLAS |
| Plain-English Specialty | Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic NUCC Code: 246ZE0600X (Specialist/Technologist, Other, Electroneurodiagnostic) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV, 89117-7528 |
| Practice Telephone / Fax | Tel: (855) 864-4322 |
| Administrative Mailing Address | 6778 KATLYN DR, MANTENO, IL, 60950-3531 |
| Enumeration & Last Sync | Enumerated: 2025-08-11 | CMS Record Updated: 2025-08-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (246ZE0600X)
What Does Taxonomy Code 246ZE0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZE0600X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRIDGET JOY CASILLAS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
246ZE0600X — Specialist/Technologist, Other, ElectroneurodiagnosticPlain English: Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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