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MR. CARL MICHAEL CLARITO NP
NPI 1427618065
Nurse Practitioner in Lexington, VA

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
1 HEALTH CIR, LEXINGTON, VA 24450(540) 458-3572 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2023, Oct 1, 2019, Jun 17, 2019 (3 updates tracked since 2019).

About Mr. Carl Michael Clarito Np NPPES

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

MR. CARL MICHAEL CLARITO NP (NPI 1427618065) is an individual nurse practitioner in Lexington, Virginia, licensed in Virginia (0024177724) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427618065
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. CARL MICHAEL CLARITOCredential: NP
Location Address1 HEALTH CIRLexington, VA 24450-2448
Mailing Address100 Sentara Cir Rm 2cWilliamsburg, VA 23188-5713 · (757) 984-7217
Phone(540) 458-3572
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 17, 2019
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1427618065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024177724
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024177724 (VA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024177724 (VA)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 0024177724 (VA)
1 HEALTH CIR, Lexington, VA 24450
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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

Mr. Carl Michael Clarito 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 ID3173853959
PECOS Enrollment IDI20190920000491
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

2

Medicare enrollment records show Carl Michael Clarito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
46 mi
Emergency Medicine
1906 BELLEVIEW AVE SE, EMERGENCY DEPARTMENT
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 193 clinicians in this Medicare group
NPI 1649423815 (540) 981-7000
Sentara Medical Group
189 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

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 24450 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Home Health
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3111
SIAN ELLEN LEWIS-BEVAN
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Hospitalist
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. LYDIA JOY KUHN M.D.
Internal Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. WILLIAM LYLE MCCLUNG MD
Family Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
BRYAN JAMES CAREY PA-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. CAROL A BERNIER D.O.
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
MR. JARED SCOTT CAMPBELL P.A.-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3345

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 Carl Michael Clarito's NPI number?

The NPI number for Carl Michael Clarito is 1427618065. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Carl Michael Clarito located?

Carl Michael Clarito practices at 1 Health Cir, Lexington, VA 24450. The listed phone number is (540) 458-3572.

What is Carl Michael Clarito's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carl Michael Clarito enrolled in Medicare?

Yes. Carl Michael Clarito 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 Carl Michael Clarito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Michael Clarito reassigns Medicare benefits to 2 organizations: Carilion Medical Center (Roanoke, VA) and Sentara Medical Group (Norfolk, VA). 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 Carl Michael Clarito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carl Michael Clarito was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.