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ALYSSA CARROLL
NPI 1104451632
Nurse Practitioner in Cambridge, MA

Active since March 04, 2020PECOS Enrolled
36 WHITE STREET, CAMBRIDGE, MA 02140(617) 876-5519 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Mar 4, 2020 (2 updates tracked since 2020).

About Alyssa Carroll NPPES

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

ALYSSA CARROLL (NPI 1104451632) is an individual nurse practitioner in Cambridge, Massachusetts, licensed in Massachusetts (RN2293870) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104451632
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALYSSA CARROLL
Location Address36 WHITE STREETCambridge, MA 02140
Mailing Address36 White StreetCambridge, MA 02140 · (617) 876-5519
Phone(617) 876-5519
Sole ProprietorNo
Enumeration DateMarch 4, 2020
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1104451632 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 MA · RN2293870
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.
36 WHITE STREET, Cambridge, MA 02140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Alyssa Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02140 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 4

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

MRS. LIJIMOL BIJU
Nurse Practitioner (Family)
36 WHITE STREET
CAMBRIDGE, MA 02140
Middlesex County (617) 876-5519
MRS. NICOLE JUDITH GIBBONS
Nurse Practitioner (Family)
36 WHITE STREET
CAMBRIDGE, MA 02140
Middlesex County (866) 389-2727
DR. BRUCE E HODSDON JR. PHARMD
Pharmacist
36 WHITE STREET
CAMBRIDGE, MA 02140
Middlesex County (617) 876-5519
JESSICA KWAK
Pharmacist
36 WHITE STREET
CAMBRIDGE, MA 02140
Middlesex County (617) 876-5519

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 Alyssa Carroll's NPI number?

The NPI number for Alyssa Carroll is 1104451632. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Alyssa Carroll located?

Alyssa Carroll practices at 36 White Street, Cambridge, MA 02140. The listed phone number is (617) 876-5519.

What is Alyssa Carroll's specialty?

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

Is Alyssa Carroll enrolled in Medicare?

Yes. Alyssa Carroll is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield list Alyssa 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.

When was this NPI record last updated?

The NPPES record for Alyssa Carroll was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.