HILARY CARLSON CPNP
NPI 1487074225
Nurse Practitioner - Pediatrics in New York, NY

Active since April 20, 2014PECOS Enrolled
200 E 82ND ST APT 11H, NEW YORK, NY 10028(917) 825-6576 Get Directions Write a Review

NPPES record last updated: April 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hilary Carlson Cpnp NPPES

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

HILARY CARLSON CPNP (NPI 1487074225) is an individual pediatrics provider in New York, New York, licensed in New York (382234-1) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487074225
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHILARY CARLSONCredential: CPNP
Location Address200 E 82ND ST APT 11HNew York, NY 10028-2749
Mailing Address200 E 82nd St Apt 11hNew York, NY 10028-2749
Sole ProprietorNo
Enumeration DateApril 20, 2014
✔ NPI 1487074225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 382234-1
200 E 82ND ST APT 11H, New York, NY 10028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hilary Carlson Cpnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Hilary Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
215 EAST 85TH STREET
New York, NY 10028
  • Reassigned Medicare billing, New York enrollment
  • 980 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 10028 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.

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 Hilary Carlson's NPI number?

The NPI number for Hilary Carlson is 1487074225. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Where is Hilary Carlson located?

Hilary Carlson practices at 200 E 82nd St Apt 11H, New York, NY 10028. The listed phone number is (917) 825-6576.

What is Hilary Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Hilary Carlson enrolled in Medicare?

Yes. Hilary Carlson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hilary Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hilary Carlson reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). 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 Hilary Carlson'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 Hilary Carlson was last updated on April 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.