CARISSA MADRID FNP
NPI 1205379963
Nurse Practitioner - Family in Austin, TX

Q: What is Carissa Madrid's NPI number?

The NPI number for Carissa Madrid is 1205379963. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Q: What is Carissa Madrid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carissa Madrid was last updated on March 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2016PECOS Enrolled

2529 S 1ST ST, AUSTIN, TX 78704(512) 978-9500(512) 901-9708 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carissa Madrid Fnp NPPES

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

CARISSA MADRID FNP (NPI 1205379963) is an individual family provider in Austin, Texas, licensed in Texas (AP132633) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205379963

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARISSA MADRIDCredential: FNP

Location Address2529 S 1ST STAustin, TX 78704-5466

Mailing Address2529 S 1st StAustin, TX 78704-5466 · (512) 978-9500

Phone(512) 978-9500

Fax(512) 901-9708

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 29, 2016

Last NPPES UpdateMarch 8, 2019

✔ NPI 1205379963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP132633

2529 S 1ST ST, Austin, TX 78704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Carissa Madrid Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123300472

PECOS Enrollment IDI20170120001128

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 78704 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

DR. ADITI JAGDISH SULE MD

Pediatrics