CLARISA DANA QUARLES-DIALLO APRN, FNP-BC
NPI 1295426252
Nurse Practitioner - Family in Waldorf, MD

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
3195 OLD WASHINGTON RD, WALDORF, MD 20602(240) 419-3658 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clarisa Dana Quarles-diallo Aprn, Fnp-bc NPPES

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

CLARISA DANA QUARLES-DIALLO APRN, FNP-BC (NPI 1295426252) is an individual family provider in Waldorf, Maryland, licensed in Maryland (R160007) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2012).

NPPES Registry Identity

NPI1295426252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLARISA DANA QUARLES-DIALLOCredential: APRN, FNP-BC
Location Address3195 OLD WASHINGTON RDWaldorf, MD 20602-3201
Mailing Address12811 Asbury DrFort Washington, MD 20744-6408 · (301) 292-9650
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2012
Enumeration DateMay 18, 2023
NPPES CertifiedMay 4, 2023
✔ NPI 1295426252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R160007
3195 OLD WASHINGTON RD, Waldorf, MD 20602

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

Clarisa Dana Quarles-diallo Aprn, Fnp-bc 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 ID3577005925
PECOS Enrollment IDI20240613001757
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 Clarisa Quarles-diallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospice Care, Community Based
90 RITCHIE HIGHWAY
Pasadena, MD 21122
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 15 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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
77 services43 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.
30 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 5

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

Home Health
3195 OLD WASHINGTON RD
WALDORF, MD 20602
Counselor (Professional)
3195 OLD WASHINGTON RD, SUITE 108
WALDORF, MD 20602
Counselor (Professional)
3195 OLD WASHINGTON RD, 227
WALDORF, MD 20602
Psychologist (Counseling)
3195 OLD WASHINGTON RD
WALDORF, MD 20602
Private Vehicle
3195 OLD WASHINGTON RD
WALDORF, MD 20602

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 Clarisa Quarles-diallo's NPI number?

The NPI number for Clarisa Quarles-diallo is 1295426252. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Clarisa Quarles-diallo located?

Clarisa Quarles-diallo practices at 3195 Old Washington Rd, Waldorf, MD 20602. The listed phone number is (240) 419-3658.

What is Clarisa Quarles-diallo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clarisa Quarles-diallo enrolled in Medicare?

Yes. Clarisa Quarles-diallo 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 Clarisa Quarles-diallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarisa Quarles-diallo reassigns Medicare benefits to Hospice Of The Chesapeake, Inc (Pasadena, MD). 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 Clarisa Quarles-diallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clarisa Quarles-diallo was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.