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MS. KANDY CARRILLO PA
NPI 1396060034
Physician Assistant in Miami Gardens, FL

Active since April 06, 2010PECOS Enrolled
21301 NW 2ND AVE, MIAMI GARDENS, FL 33169(305) 947-4499(786) 657-2623 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kandy Carrillo Pa NPPES

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

MS. KANDY CARRILLO PA (NPI 1396060034) is an individual physician assistant in Miami Gardens, Florida, licensed in Florida (PA9105235) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396060034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KANDY CARRILLOCredential: PA
Location Address21301 NW 2ND AVEMiami Gardens, FL 33169-2112
Mailing Address1145 Ne 133rd StNorth Miami, FL 33161-4250 · (305) 525-0648
Phone(305) 947-4499
Fax(786) 657-2623
Sole ProprietorNo
Enumeration DateApril 6, 2010
Last NPPES UpdateJuly 15, 2016
✔ NPI 1396060034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9105235
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21301 NW 2ND AVE, Miami Gardens, FL 33169
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kandy Carrillo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33169 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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

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

LATINOPTICAL
Optometrist
21301 NW 2ND AVE
MIAMI, FL 33169
Miami-Dade County (305) 940-0037

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 Kandy Carrillo's NPI number?

The NPI number for Kandy Carrillo is 1396060034. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Kandy Carrillo located?

Kandy Carrillo practices at 21301 NW 2nd Ave, Miami Gardens, FL 33169. The listed phone number is (305) 947-4499.

What is Kandy Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kandy Carrillo enrolled in Medicare?

Yes. Kandy Carrillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kandy Carrillo was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.