MICHELLE CHRISTINE CARRILLO
NPI 1164143244
Physician Assistant in New York, NY

Active since September 07, 2022PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2022, Sep 7, 2022 (2 updates tracked since 2022).

About Michelle Christine Carrillo NPPES

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

MICHELLE CHRISTINE CARRILLO (NPI 1164143244) is an individual physician assistant in New York, New York, licensed in New York (029212) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1164143244
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE CHRISTINE CARRILLO
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
NPI 1164143244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 029212
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1275 YORK AVE, New York, NY 10065

Secondary Practice Location 1

Location 1163 William St Fl 5New York, NY 10038-2613 · Phone (212) 618-6053

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Christine Carrillo 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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

Urology
1275 YORK AVE
NEW YORK, NY 10065
Anesthesiology
1275 YORK AVE, RM M301
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
1275 YORK AVE
NEW YORK, NY 10065
Pathology (Anatomic Pathology & Clinical Pathology)
1275 YORK AVE
NEW YORK, NY 10065
Radiology (Radiation Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Pulmonary Disease)
1275 YORK AVE
NEW YORK, NY 10065

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 Michelle Carrillo's NPI number?

The NPI number for Michelle Carrillo is 1164143244. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Michelle Carrillo located?

Michelle Carrillo practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Michelle Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Carrillo enrolled in Medicare?

Yes. Michelle Carrillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Carrillo was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.