MARY JEAL CARRASCO NURSE PRACTITIONER
NPI 1255981122
Nurse Practitioner - Primary Care in Denver, CO

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
59.7/100
CMS Quality Rating
6850 E EVANS AVE STE 102, DENVER, CO 80224(303) 691-5009 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2020, Sep 12, 2019 (2 updates tracked since 2019).

About Mary Jeal Carrasco Nurse Practitioner NPPES

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

MARY JEAL CARRASCO NURSE PRACTITIONER (NPI 1255981122) is an individual primary care provider in Denver, Colorado, licensed in Colorado (0995405-NP) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255981122
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY JEAL CARRASCOCredential: NURSE PRACTITIONER
Location Address6850 E EVANS AVE STE 102Denver, CO 80224-2300
Mailing Address3441 E 13th AveDenver, CO 80206-2608 · (720) 941-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 12, 2019
Last NPPES UpdateApril 16, 20202 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
NPI 1255981122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CO · 0995405-NP
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
6850 E EVANS AVE STE 102, Denver, CO 80224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Jeal Carrasco Nurse Practitioner 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 ID3173928116
PECOS Enrollment IDI20210830000519
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.

Areas of Expertise CMS Part B claims 7

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
590 services96 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
271 services83 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
87 services35 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
19 services19 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services13 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80224 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

59.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.31
Improvement Activities0
Cost51.25

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner (Family)
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner (Family)
6850 E EVANS AVE STE 102
DENVER, CO 80224

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 Mary Carrasco's NPI number?

The NPI number for Mary Carrasco is 1255981122. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Mary Carrasco located?

Mary Carrasco practices at 6850 E Evans Ave Ste 102, Denver, CO 80224. The listed phone number is (303) 691-5009.

What is Mary Carrasco's specialty?

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

Is Mary Carrasco enrolled in Medicare?

Yes. Mary Carrasco 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.

What insurance does Mary Carrasco accept?

Health plans from UnitedHealthcare list Mary Carrasco 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 Mary Carrasco was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.