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BARBARA CARROLL APN-C
NPI 1093927659
Nurse Practitioner - Adult Health in Newark, NJ

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(973) 972-3342 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Barbara Carroll Apn-c NPPES

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

BARBARA CARROLL APN-C (NPI 1093927659) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ00069700) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093927659
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBARBARA CARROLLCredential: APN-C
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address79 E Pleasant AveMaywood, NJ 07607-1318 · (201) 845-8335
Phone(973) 972-3342
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 4, 2007
Last NPPES UpdateJune 24, 2019
✔ NPI 1093927659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00069700
150 BERGEN ST, Newark, NJ 07103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Barbara Carroll Apn-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.

PECOS PAC ID3577631514
PECOS Enrollment IDI20081004000040
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services66 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

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 Barbara Carroll's NPI number?

The NPI number for Barbara Carroll is 1093927659. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Barbara Carroll located?

Barbara Carroll practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-3342.

What is Barbara Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Barbara Carroll enrolled in Medicare?

Yes. Barbara Carroll 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 Barbara Carroll accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Barbara Carroll 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 Barbara Carroll affiliated with any hospitals?

According to CMS data, Barbara Carroll is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Carroll was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.