KIMBERLY MAE CARREON CARILLO NP
NPI 1407327687
Nurse Practitioner - Adult Health in New York, NY

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST FL 14, NEW YORK, NY 10032(212) 305-0914 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Jun 28, 2021, Dec 16, 2018 (3 updates tracked since 2018).

About Kimberly Mae Carreon Carillo Np NPPES

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

KIMBERLY MAE CARREON CARILLO NP (NPI 1407327687) is an individual adult health provider in New York, New York, licensed in New York (308369) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of New York University School Of Medicine (2017).

NPPES Registry Identity

NPI1407327687
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY MAE CARREON CARILLOCredential: NP
Location Address622 W 168TH ST FL 14New York, NY 10032-3720
Mailing Address295 Route 340Sparkill, NY 10976-1205 · (845) 596-1369
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2017
Enumeration DateDecember 16, 2018
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1407327687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 308369
Also ListedNurse PractitionerTaxonomy 363L00000X · License F308369-1 (NY)
622 W 168TH ST FL 14, New York, NY 10032

Other Names 1

Former Name (1)Kimberly Mae Ruiz Carreon

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

Kimberly Mae Carreon Carillo Np 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 ID5496158594
PECOS Enrollment IDI20210727003317
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.

Areas of Expertise CMS Part B claims

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.

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.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
622 W 168TH ST FL 14
NEW YORK, NY 10032
Nurse Practitioner (Family)
622 W 168TH ST FL 14
NEW YORK, NY 10032
Transplant Surgery
622 W 168TH ST FL 14
NEW YORK, NY 10032
Internal Medicine (Transplant Hepatology)
622 W 168TH ST FL 14
NEW YORK, NY 10032
Nurse Practitioner (Psychiatric/Mental Health)
622 W 168TH ST FL 14
NEW YORK, NY 10032
Internal Medicine (Transplant Hepatology)
622 W 168TH ST FL 14
NEW YORK, NY 10032
Surgery
622 W 168TH ST FL 14
NEW YORK, NY 10032
Physician Assistant
622 W 168TH ST FL 14
NEW YORK, NY 10032

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 Kimberly Mae Carillo's NPI number?

The NPI number for Kimberly Mae Carillo is 1407327687. It was assigned to this individual provider in the NPPES registry on December 16, 2018. The provider is also known as Kimberly Mae Ruiz Carreon.

Where is Kimberly Mae Carillo located?

Kimberly Mae Carillo practices at 622 W 168th St Fl 14, New York, NY 10032. The listed phone number is (212) 305-0914.

What is Kimberly Mae Carillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Mae Carillo enrolled in Medicare?

Yes. Kimberly Mae Carillo 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.

Is Kimberly Mae Carillo affiliated with any hospitals?

According to CMS data, Kimberly Mae Carillo is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Mae Carillo was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.