KATHERINE CARROLL CPNP-PC/AC
NPI 1306567854
Nurse Practitioner - Pediatrics in University Park, MD
About Katherine Carroll Cpnp-pc/ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE CARROLL CPNP-PC/AC (NPI 1306567854) is an individual pediatrics provider in University Park, Maryland, licensed in District Of Columbia (NP1052429) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Carroll Cpnp-pc/ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia enrollment
- 328 clinicians in this Medicare group
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 526 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20782 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Katherine Carroll's NPI number?
The NPI number for Katherine Carroll is 1306567854. It was assigned to this individual provider in the NPPES registry on September 2, 2022.
Where is Katherine Carroll located?
Katherine Carroll practices at 6509 41st Ave, University Park, MD 20782. The listed phone number is (610) 357-5867.
What is Katherine Carroll's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Katherine Carroll enrolled in Medicare?
Yes. Katherine Carroll is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katherine Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Carroll reassigns Medicare benefits to 2 organizations: Dimensions Healthcare Associates Inc (Laurel, MD) and The Nemours Foundation (Wilmington, DE). Each 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 Katherine Carroll'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 Katherine Carroll was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Katherine Carroll, CPNP-PC/AC · NPI 1306567854
Pediatrics physician in University Park, Maryland. Individual provider, active in the CMS NPPES registry since September 2, 2022.
## Identity
- **NPI:** 1306567854 (Entity type: Individual)
- **Enumerated:** September 2, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP1052429 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6509 41ST AVE, University Park, MD 20782-2155
- **Phone:** (610) 357-5867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dimensions Healthcare Associates Inc (NPI 1407916646, Laurel, MD); The Nemours Foundation (NPI 1366594699, Wilmington, DE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306567854) · Data from the CMS NPPES public registry.