MR. MARK ANTHONY CARREON MSN, ACNP
NPI 1063757573
Nurse Practitioner in Honolulu, HI

Active since December 10, 2012PECOS EnrolledAccepts Medicare Assignment
87.22/100
CMS Quality Rating
1520 LILIHA ST STE 601, HONOLULU, HI 96817(808) 523-0445(808) 356-3380 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Apr 5, 2024, May 22, 2018 (3 updates tracked since 2018).

About Mr. Mark Anthony Carreon Msn, Acnp NPPES

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

MR. MARK ANTHONY CARREON MSN, ACNP (NPI 1063757573) is an individual nurse practitioner in Honolulu, Hawaii, licensed in Hawaii (APRN-2030) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aiea, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063757573
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MARK ANTHONY CARREONCredential: MSN, ACNP
Location Address1520 LILIHA ST STE 601Honolulu, HI 96817-3564
Mailing Address1520 Liliha St Ste 601Honolulu, HI 96817-3564 · (808) 523-0445 · Fax (808) 356-3380
Fax(808) 356-3380
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 10, 2012
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1063757573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in HI · APRN-2030
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1520 LILIHA ST STE 601, Honolulu, HI 96817

Secondary Practice Location 1

Location 198-211 Pali Momi St Ste 320Aiea, HI 96701-4306 · Phone (808) 523-0445 · Fax (808) 356-3380

Other Identifiers 1

Other14220842NV · Caqh

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

Mr. Mark Anthony Carreon Msn, Acnp 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.

PECOS PAC ID7315184918
PECOS Enrollment IDI20160114000862
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
130 services35 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
52 services30 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.88
Promoting Interoperability100
Improvement Activities40
Cost68.86

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.

Nurse Practitioner (Adult Health)
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Internal Medicine (Nephrology)
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner (Adult Health)
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner (Family)
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner
1520 LILIHA ST STE 601
HONOLULU, HI 96817
Nurse Practitioner (Gerontology)
1520 LILIHA ST STE 601
HONOLULU, HI 96817

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 Mark Carreon's NPI number?

The NPI number for Mark Carreon is 1063757573. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Mark Carreon located?

Mark Carreon practices at 1520 Liliha St Ste 601, Honolulu, HI 96817. The listed phone number is (808) 523-0445.

What is Mark Carreon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Carreon enrolled in Medicare?

Yes. Mark Carreon 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 Mark Carreon accept?

Health plans from Blue Cross and Blue Shield of Texas and HMSA list Mark Carreon 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 Mark Carreon was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.