CAROLINE W PILKINTON FNP-C
NPI 1104713189
Nurse Practitioner - Family in Sun City, AZ
About Caroline W Pilkinton Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE W PILKINTON FNP-C (NPI 1104713189) is an individual family provider in Sun City, Arizona, licensed in Arizona (RNP327058) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caroline W Pilkinton Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Caroline Pilkinton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sun City, AZ 85351
- Reassigned Medicare billing, Arizona enrollment
- 6 clinicians in this Medicare group
Phoenix, AZ 85041
- Reassigned Medicare billing, Arizona enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SUN CITY, AZ 85351
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 Caroline Pilkinton's NPI number?
The NPI number for Caroline Pilkinton is 1104713189. It was assigned to this individual provider in the NPPES registry on June 21, 2025.
Where is Caroline Pilkinton located?
Caroline Pilkinton practices at 12630 N 103rd Ave Ste 142, Sun City, AZ 85351. The listed phone number is (602) 527-6749.
What is Caroline Pilkinton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Caroline Pilkinton enrolled in Medicare?
Yes. Caroline Pilkinton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Caroline Pilkinton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Pilkinton reassigns Medicare benefits to 2 organizations: Az At Home Inc (Sun City, AZ) and Great Valley Behavioral Homes LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Pilkinton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caroline Pilkinton accept?
Health plans from UnitedHealthcare list Caroline Pilkinton 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 Caroline Pilkinton was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Caroline W Pilkinton, FNP-C · NPI 1104713189
Family physician in Sun City, Arizona. Individual provider, active in the CMS NPPES registry since June 21, 2025.
## Identity
- **NPI:** 1104713189 (Entity type: Individual)
- **Enumerated:** June 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RNP327058 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 12630 N 103RD AVE STE 142, Sun City, AZ 85351-3463
- **Phone:** (602) 527-6749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Az At Home Inc (NPI 1548643836, Sun City, AZ); Great Valley Behavioral Homes LLC (NPI 1679347462, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104713189) · Data from the CMS NPPES public registry.