CARLA MARIES RICAFORT MARIANO AGACNP
NPI 1003644279
Nurse Practitioner - Acute Care in Dallas, TX

Active since July 22, 2024PECOS Enrolled
6201 HARRY HINES BLVD, DALLAS, TX 75235(214) 633-5555 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jul 22, 2024 (2 updates tracked since 2024).

About Carla Maries Ricafort Mariano Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA MARIES RICAFORT MARIANO AGACNP (NPI 1003644279) is an individual acute care provider in Dallas, Texas, licensed in Texas (1030792) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003644279
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCARLA MARIES RICAFORT MARIANOCredential: AGACNP
Location Address6201 HARRY HINES BLVDDallas, TX 75235-5202
Mailing Address6908 Leflore DrPlano, TX 75074-8752 · (917) 753-2395
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1003644279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1030792
6201 HARRY HINES BLVD, Dallas, TX 75235

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carla Maries Ricafort Mariano Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103354642
PECOS Enrollment IDI20250110002159
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Family)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Emergency Medicine (Emergency Medical Services)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Adult Health)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Family Medicine (Adult Medicine)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Physician Assistant
6201 HARRY HINES BLVD
DALLAS, TX 75235
Psychologist (Clinical)
6201 HARRY HINES BLVD
DALLAS, TX 75235
Registered Nurse (Emergency)
6201 HARRY HINES BLVD
DALLAS, TX 75235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Maries Mariano's NPI number?

The NPI number for Carla Maries Mariano is 1003644279. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Carla Maries Mariano located?

Carla Maries Mariano practices at 6201 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 633-5555.

What is Carla Maries Mariano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carla Maries Mariano enrolled in Medicare?

Yes. Carla Maries Mariano is registered in the Medicare PECOS enrollment system.

What insurance does Carla Maries Mariano accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carla Maries Mariano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carla Maries Mariano affiliated with any hospitals?

According to CMS data, Carla Maries Mariano is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Carla Maries Mariano was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.