1. Home
  2. Directory
  3. Arizona
  4. Goodyear
  5. Nurse Practitioner
  6. NPI Profile

CARMENCITA MEDALLE
NPI 1346133196
Nurse Practitioner - Family in Goodyear, AZ

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment
1800 N CIVIC SQ STE 200, GOODYEAR, AZ 85395(623) 465-6506 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, May 30, 2025 (2 updates tracked since 2025).

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

NPI1346133196
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMENCITA MEDALLE
Location Address1800 N CIVIC SQ STE 200Goodyear, AZ 85395-2391
Mailing Address1800 N Civic Sq Ste 200Goodyear, AZ 85395-2391
Phone(623) 465-6506
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1346133196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 325706
Also ListedRegistered NurseTaxonomy 163W00000X · License RN187226 (AZ)
1800 N CIVIC SQ STE 200, Goodyear, AZ 85395
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

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.

PECOS PAC ID6800394818
PECOS Enrollment IDI20250808003596
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.

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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

What insurance does Carmencita Medalle accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.