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CARMEN ANTONELLIS
NPI 1295151058
Nurse Practitioner in Malden, MA

Active since March 17, 2014PECOS EnrolledAccepts Medicare Assignment
578 MAIN ST, MALDEN, MA 02148(781) 321-3422(781) 321-1863 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Antonellis NPPES

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

CARMEN ANTONELLIS (NPI 1295151058) is an individual nurse practitioner in Malden, Massachusetts, licensed in Massachusetts (181556) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295151058
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARMEN ANTONELLIS
Location Address578 MAIN STMalden, MA 02148-3900
Mailing Address578 Main StMalden, MA 02148-3900 · (781) 321-3422 · Fax (781) 321-1863
Phone(781) 321-3422
Fax(781) 321-1863
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 17, 2014
✔ NPI 1295151058 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 MA · 181556
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.
578 MAIN ST, Malden, MA 02148
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Accepted Insurance

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

Carmen Antonellis 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 ID8224250469
PECOS Enrollment IDI20141104000901
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 16

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

CHRISTOPHER WALTON
Hearing Instrument Specialist
578 MAIN ST, SUITE 101
MALDEN, MA 02148
Middlesex County (781) 324-1771
HELENA NAOMI PHAM CNP
Nurse Practitioner
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 620-4832
DR. STEWART DANA SHERNAN DMD, BS
Dentist
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100
JENNIFER R. LIN D.O.
Family Medicine
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 321-3422
DR. JESSICA PERPETUO JORGE DMD
Dentist
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100
PANSY SIU-LAI MD
Family Medicine
578 MAIN ST, HALLMARK HEALTH MEDICAL ASSOCIATES INC
MALDEN, MA 02148
Middlesex County (781) 321-3422
ANDALUNA DENTAL
Clinic/Center (Dental)
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100
MATTHEW Y SIU MD
Family Medicine
578 MAIN ST, HALLMARK HEALTH MEDICAL ASSOCIATES
MALDEN, MA 02148
Middlesex County (781) 321-3422

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 Carmen Antonellis's NPI number?

The NPI number for Carmen Antonellis is 1295151058. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Carmen Antonellis located?

Carmen Antonellis practices at 578 Main St, Malden, MA 02148. The listed phone number is (781) 321-3422.

What is Carmen Antonellis's specialty?

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

Is Carmen Antonellis enrolled in Medicare?

Yes. Carmen Antonellis 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 Carmen Antonellis accept?

Health plans from Anthem Blue Cross and Blue Shield list Carmen Antonellis 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 Carmen Antonellis affiliated with any hospitals?

According to CMS data, Carmen Antonellis is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Carmen Antonellis was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.