CARMENCITA MEDALLE
NPI 1346133196
Nurse Practitioner - Family in Goodyear, AZ
About Carmencita Medalle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMENCITA MEDALLE (NPI 1346133196) is an individual family provider in Goodyear, Arizona, licensed in Arizona (325706) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Carmencita Medalle 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.
Medicare Billing Reassignment
Medicare enrollment records show Carmencita Medalle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, AZ 85381
- Reassigned Medicare billing, Arizona enrollment
- 271 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 85395 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 Carmencita Medalle's NPI number?
The NPI number for Carmencita Medalle is 1346133196. It was assigned to this individual provider in the NPPES registry on May 30, 2025.
Where is Carmencita Medalle located?
Carmencita Medalle practices at 1800 N Civic Sq Ste 200, Goodyear, AZ 85395. The listed phone number is (623) 465-6506.
What is Carmencita Medalle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carmencita Medalle enrolled in Medicare?
Yes. Carmencita Medalle 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 Carmencita Medalle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmencita Medalle reassigns Medicare benefits to Banner Primary Care Physicians Arizona LLC (Peoria, AZ). 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 Carmencita Medalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carmencita Medalle accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Carmencita Medalle 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 Carmencita Medalle was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Carmencita Medalle · NPI 1346133196
Family physician in Goodyear, Arizona. Individual provider, active in the CMS NPPES registry since May 30, 2025.
## Identity
- **NPI:** 1346133196 (Entity type: Individual)
- **Enumerated:** May 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 325706 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 N CIVIC SQ STE 200, Goodyear, AZ 85395-2391
- **Phone:** (623) 465-6506
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Primary Care Physicians Arizona LLC (NPI 1649544362, Peoria, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346133196) · Data from the CMS NPPES public registry.