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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(214) 633-5555

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Carla Maries Mariano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas

0.2 mi

Rehabilitation

6011 HARRY HINES BLVD
Dallas, TX 75235

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1043418205 (214) 645-0624

Cardio & Renal Therapeutics Of North Texas PLLC

58 mi

Nephrology

300 N HIGHLAND AVE STE 365
Sherman, TX 75092

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1649813296 (516) 721-7069

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

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.

SARA A. HENNESSY M.D.

Surgery