MS. CARLA-MARIE NIRO MSN, PMHNP-BC
NPI 1336427236
Nurse Practitioner - Psychiatric/Mental Health in North Dartmouth, MA

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
25 OLD WESTPORT RD, NORTH DARTMOUTH, MA 02747(508) 993-8332(774) 264-9577 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Jan 21, 2018, Aug 10, 2016 (3 updates tracked since 2016).

About Ms. Carla-marie Niro Msn, Pmhnp-bc NPPES

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

MS. CARLA-MARIE NIRO MSN, PMHNP-BC (NPI 1336427236) is an individual psychiatric/mental health provider in North Dartmouth, Massachusetts, licensed in Massachusetts (RN/NP2282041) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fall River, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336427236
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. CARLA-MARIE NIROCredential: MSN, PMHNP-BC
Location Address25 OLD WESTPORT RDNorth Dartmouth, MA 02747-2537
Mailing Address25 Old Westport RdNorth Dartmouth, MA 02747-2537 · (774) 328-6551 · Fax (774) 264-9577
Fax(774) 264-9577
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1336427236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MA · RN/NP2282041✔ Licensed in RI · NPP37628
25 OLD WESTPORT RD, North Dartmouth, MA 02747

Secondary Practice Location 1

Location 1795 Middle StFall River, MA 02721-1733 · Phone (508) 674-5600

Accepted Insurance

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

Ms. Carla-marie Niro Msn, Pmhnp-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 ID2264604776
PECOS Enrollment IDI20121228000097
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 Reassignments

3

Medicare enrollment records show Carla-marie Niro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1061 PLEASANT ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 99 clinicians in this Medicare group
Psychiatric Unit
795 MIDDLE ST
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 9 clinicians in this Medicare group
Counselor
75 LAMBERT LIND HWY
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 43 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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
845 services95 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.
441 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 9

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

Counselor (Addiction (Substance Use Disorder))
25 OLD WESTPORT RD
NORTH DARTMOUTH, MA 02747
Social Worker (Clinical)
25 OLD WESTPORT RD
NORTH DARTMOUTH, MA 02747
Social Worker (Clinical)
25 OLD WESTPORT RD
DARTMOUTH, MA 02747
Counselor (Mental Health)
25 OLD WESTPORT RD
DARTMOUTH, MA 02747
Nurse Practitioner (Psychiatric/Mental Health)
25 OLD WESTPORT RD
DARTMOUTH, MA 02747
Community/Behavioral Health
25 OLD WESTPORT RD
NORTH DARTMOUTH, MA 02747
Nurse Practitioner (Psychiatric/Mental Health)
25 OLD WESTPORT RD
DARTMOUTH, MA 02747
Social Worker (Clinical)
25 OLD WESTPORT RD
DARTMOUTH, MA 02747

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 Carla-marie Niro's NPI number?

The NPI number for Carla-marie Niro is 1336427236. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Carla-marie Niro located?

Carla-marie Niro practices at 25 Old Westport Rd, North Dartmouth, MA 02747. The listed phone number is (508) 993-8332.

What is Carla-marie Niro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carla-marie Niro enrolled in Medicare?

Yes. Carla-marie Niro 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 organizations bill Medicare for Carla-marie Niro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla-marie Niro reassigns Medicare benefits to 3 organizations: Child & Family Services, Inc. (New Bedford, MA), Lifespan Of Massachusetts - Fall River Inc (Fall River, MA) and Quality Behavioral Health (Warwick, RI). 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 Carla-marie Niro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla-marie Niro accept?

Health plans from Harvard Pilgrim Health Care list Carla-marie Niro 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 Carla-marie Niro was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.