MRS. NICOLE CARRILLO PA-C
NPI 1063660983
Physician Assistant - Medical in Jersey City, NJ
About Mrs. Nicole Carrillo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE CARRILLO PA-C (NPI 1063660983) is an individual medical provider in Jersey City, New Jersey, licensed in New Jersey (25MP00203400) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 and accepts Medicare assignment
Mrs. Nicole Carrillo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07302
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 Nicole Carrillo's NPI number?
The NPI number for Nicole Carrillo is 1063660983. It was assigned to this individual provider in the NPPES registry on September 4, 2008. The provider is also known as Ms. Nicole Frim.
Where is Nicole Carrillo located?
Nicole Carrillo practices at 377 Jersey Ave Ste 450, Jersey City, NJ 07302. The listed phone number is (201) 915-2525.
What is Nicole Carrillo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicole Carrillo enrolled in Medicare?
Yes. Nicole Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Nicole Carrillo accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nicole Carrillo 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.
When was this NPI record last updated?
The NPPES record for Nicole Carrillo was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mrs. Nicole Carrillo, PA-C · NPI 1063660983
Medical physician in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since September 4, 2008.
## Identity
- **NPI:** 1063660983 (Entity type: Individual)
- **Enumerated:** September 4, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 25MP00203400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 377 JERSEY AVE STE 450, Jersey City, NJ 07302-4397
- **Phone:** (201) 915-2525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 25, 2023
- **Other identifiers:** Other 25MP00203400 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1063660983) · Data from the CMS NPPES public registry.