CARLA ANN PAREDES CRNP
NPI 1174078976
Nurse Practitioner in Flanders, NJ
About Carla Ann Paredes Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA ANN PAREDES CRNP (NPI 1174078976) is an individual nurse practitioner in Flanders, New Jersey, licensed in Pennsylvania (SP016026) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carla Ann Paredes Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Carla Paredes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flanders, NJ 07836
- Reassigned Medicare billing, New Jersey enrollment
- 19 clinicians in this Medicare group
Easton, PA 18042
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 clinicians in this Medicare group
Philadelphia, PA 19122
- Reassigned Medicare billing, Delaware and Pennsylvania enrollments
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 10 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 07836 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLANDERS, NJ 07836
FLANDERS, NJ 07836
FLANDERS, NJ 07836
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 Carla Paredes's NPI number?
The NPI number for Carla Paredes is 1174078976. It was assigned to this individual provider in the NPPES registry on August 22, 2016.
Where is Carla Paredes located?
Carla Paredes practices at 230 Us Highway 206 Building 3, Suite #4, Flanders, NJ 07836. The listed phone number is (155) 852-1442.
What is Carla Paredes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Carla Paredes enrolled in Medicare?
Yes. Carla Paredes 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.
Which organizations bill Medicare for Carla Paredes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Paredes reassigns Medicare benefits to 3 organizations: Ophelia Medical Group Nj PC (Flanders, NJ), Neighborhood Health Centers Of The Lehigh Valley (Easton, PA) and Ophelia Medical Group Fl, P.A. (Philadelphia, PA). 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 Carla Paredes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Paredes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carla Paredes 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 Carla Paredes was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carla Ann Paredes, CRNP · NPI 1174078976
Nurse Practitioner physician in Flanders, New Jersey. Individual provider, active in the CMS NPPES registry since August 22, 2016.
## Identity
- **NPI:** 1174078976 (Entity type: Individual)
- **Enumerated:** August 22, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP016026 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 US HIGHWAY 206, BUILDING 3, SUITE #4, Flanders, NJ 07836-9287
- **Phone:** (155) 852-1442 · **Fax:** (888) 201-9536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ophelia Medical Group Nj PC (NPI 1346906179, Flanders, NJ); Neighborhood Health Centers Of The Lehigh Valley (NPI 1750821369, Easton, PA); Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174078976) · Data from the CMS NPPES public registry.