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JIMMY RAFAEL CARRILLO PA-C
NPI 1285910778
Physician Assistant - Medical in Bonifay, FL

Active since October 27, 2011PECOS EnrolledAccepts Medicare Assignment
3269 HIGHWAY 90, BONIFAY, FL 32425(850) 547-9991(850) 547-9992 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy Rafael Carrillo Pa-c NPPES

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

JIMMY RAFAEL CARRILLO PA-C (NPI 1285910778) is an individual medical provider in Bonifay, Florida, licensed in Florida (PA9106175) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Doctors Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285910778
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJIMMY RAFAEL CARRILLOCredential: PA-C
Location Address3269 HIGHWAY 90Bonifay, FL 32425-6001
Mailing Address3269 Highway 90Bonifay, FL 32425-6001 · (850) 547-9991 · Fax (850) 547-9992
Phone(850) 547-9991
Fax(850) 547-9992
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 27, 2011
✔ NPI 1285910778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106175
3269 HIGHWAY 90, Bonifay, FL 32425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Jimmy Rafael Carrillo Pa-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 ID7416114640
PECOS Enrollment IDI20120131000392, I20251022003243
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
120 services108 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
81 services73 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
62 services60 patients

Hospital Affiliations CMS Care Compare

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

Doctors Memorial Hospital

Critical Access Hospitals · Bonifay, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101307
Location2600 Hospital DrBonifay, FL 32425 · Holmes County

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.

CONTINI FAMILY MEDICINE LLC
Family Medicine
3269 HIGHWAY 90
BONIFAY, FL 32425
Holmes County (850) 547-9991
LEONEL P WELCH BASULTO MD
Family Medicine
3269 HIGHWAY 90
BONIFAY, FL 32425
Holmes County (850) 547-9991
KYLE VINCENT CONTINI M.D.
Family Medicine
3269 HIGHWAY 90
BONIFAY, FL 32425
Holmes County (850) 547-9991
MARIETTA ELISE SOLOMON APRN
Family Medicine
3269 HIGHWAY 90
BONIFAY, FL 32425
Holmes County (850) 547-9991
REBEKAH ELISABETH CONTINI M.D.
Family Medicine
3269 HIGHWAY 90
BONIFAY, FL 32425
Holmes County (850) 547-9991

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 Jimmy Carrillo's NPI number?

The NPI number for Jimmy Carrillo is 1285910778. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Jimmy Carrillo located?

Jimmy Carrillo practices at 3269 Highway 90, Bonifay, FL 32425. The listed phone number is (850) 547-9991.

What is Jimmy Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jimmy Carrillo enrolled in Medicare?

Yes. Jimmy Carrillo 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 Jimmy Carrillo accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jimmy Carrillo 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.

Is Jimmy Carrillo affiliated with any hospitals?

According to CMS data, Jimmy Carrillo is affiliated with Doctors Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jimmy Carrillo was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.