CAROLYN MARIE QUERALES APRN
NPI 1255761946
Nurse Practitioner - Primary Care in Orlando, FL

Active since November 18, 2013PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
601 E ROLLINS ST, ORLANDO, FL 32803(407) 897-3499(407) 896-9454 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Marie Querales Aprn NPPES

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

CAROLYN MARIE QUERALES APRN (NPI 1255761946) is an individual primary care provider in Orlando, Florida, licensed in Florida (APRN9388125) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255761946
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCAROLYN MARIE QUERALESCredential: APRN
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address601 E Rollins StOrlando, FL 32803-1248 · (407) 897-3499 · Fax (407) 896-9454
Fax(407) 896-9454
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 18, 2013
Last NPPES UpdateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1255761946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · APRN9388125
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License R 186435-5 (MN)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R 186435-5 (MN)
601 E ROLLINS ST, Orlando, FL 32803

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

Carolyn Marie Querales Aprn 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 ID5890015028
PECOS Enrollment IDI20150528002842
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 Querales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803

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 Querales's NPI number?

The NPI number for Carolyn Querales is 1255761946. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Carolyn Querales located?

Carolyn Querales practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 897-3499.

What is Carolyn Querales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Carolyn Querales enrolled in Medicare?

Yes. Carolyn Querales 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 Carolyn Querales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Querales reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). 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 Querales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carolyn Querales affiliated with any hospitals?

According to CMS data, Carolyn Querales is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Carolyn Querales was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.