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CYNTHIA MARIA CARRALERO AGNP-C
NPI 1225873185
Nurse Practitioner in Wayne, NJ

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Jul 1, 2024 (2 updates tracked since 2024).

About Cynthia Maria Carralero Agnp-c NPPES

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

CYNTHIA MARIA CARRALERO AGNP-C (NPI 1225873185) is an individual nurse practitioner in Wayne, New Jersey, licensed in New Jersey (26NJ14989800) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225873185
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCYNTHIA MARIA CARRALEROCredential: AGNP-C
Location Address57 NJ-23Wayne, NJ 07470
Mailing Address1415 91st StNorth Bergen, NJ 07047-4422 · (201) 981-2671
Phone(973) 313-8181
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 1, 2024
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1225873185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ14989800
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
57 NJ-23, Wayne, NJ 07470
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1887 Kinderkamack Rd Ste 2River Edge, NJ 07661-2307 · Phone (201) 464-0860 · Fax (888) 440-2722
Location 231-00 BroadwayFair Lawn, NJ 07410-3963 · Phone (001) 791-7771 · Fax (201) 350-8614

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Cynthia Maria Carralero Agnp-c 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.

PECOS PAC ID7315488277
PECOS Enrollment IDI20240918003016
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 Cynthia Carralero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allied Digestive Health, LLC
44 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805

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 07470 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Cynthia Carralero's NPI number?

The NPI number for Cynthia Carralero is 1225873185. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Cynthia Carralero located?

Cynthia Carralero practices at 57 Nj-23, Wayne, NJ 07470. The listed phone number is (973) 313-8181.

What is Cynthia Carralero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cynthia Carralero enrolled in Medicare?

Yes. Cynthia Carralero 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 organization bills Medicare for Cynthia Carralero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carralero reassigns Medicare benefits to Allied Digestive Health, LLC (West Long Beach, NJ). 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 Cynthia Carralero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Carralero accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Cynthia Carralero 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 Cynthia Carralero was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.