MRS. CAROLYN L. MENDIOLA FRUGE MSN. AGNP
NPI 1205490992
Nurse Practitioner - Gerontology in Tamuning, GU

Active since April 28, 2019PECOS Enrolled
1244 N MARINE CORPS DR, TAMUNING, GU 96913(671) 647-8262(671) 647-5252 Get Directions Write a Review

NPPES record last updated: April 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Carolyn L. Mendiola Fruge Msn. Agnp NPPES

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

MRS. CAROLYN L. MENDIOLA FRUGE MSN. AGNP (NPI 1205490992) is an individual gerontology provider in Tamuning, Guam, licensed in Guam (NP-0198) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205490992
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. CAROLYN L. MENDIOLA FRUGECredential: MSN. AGNP
Location Address1244 N MARINE CORPS DRTamuning, GU 96913-4308
Mailing AddressPo Box 7358Agat, GU 96928-0358 · (671) 487-1927
Fax(671) 647-5252
Sole ProprietorYes
Enumeration DateApril 28, 2019
✔ NPI 1205490992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GU · NP-0198

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carolyn L. Mendiola Fruge Msn. Agnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Fruge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
1244 NORTH MARINE CORPS DRIVE
Upper Tumon, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 31 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 96913 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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 14

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Counselor (Addiction (Substance Use Disorder))
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Family Medicine
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Pediatrics
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Family Medicine
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Family Medicine
1244 N MARINE CORPS DR
TAMUNING, GU 96913
Clinic/Center (Primary Care)
1244 N MARINE CORPS DR
TAMUNING, GUAM 96913
Pediatrics
1244 N MARINE CORPS DR
TAMUNING, GU 96913

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 Carolyn Fruge's NPI number?

The NPI number for Carolyn Fruge is 1205490992. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Where is Carolyn Fruge located?

Carolyn Fruge practices at 1244 N Marine Corps Dr, Tamuning, GU 96913. The listed phone number is (671) 647-8262.

What is Carolyn Fruge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Carolyn Fruge enrolled in Medicare?

Yes. Carolyn Fruge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Fruge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Fruge reassigns Medicare benefits to American Medical Center, LLC (Upper Tumon, GU). The 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 Carolyn Fruge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Fruge was last updated on April 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.