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PHILLIP OZELL CARR
NPI 1538813936
Nurse Practitioner in Maywood, IL

Active since February 05, 2022PECOS Enrolled
1408 S 10TH AVE, MAYWOOD, IL 60153(630) 999-1143 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2022, Feb 5, 2022 (2 updates tracked since 2022).

About Phillip Ozell Carr NPPES

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

PHILLIP OZELL CARR (NPI 1538813936) is an individual nurse practitioner in Maywood, Illinois, licensed in Illinois (209024649) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538813936
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePHILLIP OZELL CARR
Location Address1408 S 10TH AVEMaywood, IL 60153-1957
Mailing Address1408 S 10th AveMaywood, IL 60153-1957 · (630) 999-1143
Phone(630) 999-1143
Sole ProprietorYes
Enumeration DateFebruary 5, 2022
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1538813936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209024649
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.
1408 S 10TH AVE, Maywood, IL 60153
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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 (PECOS)

Phillip Ozell Carr 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 Reassignments

3

Medicare enrollment records show Phillip Carr reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
4.8 mi
Family Medicine
117W755 BUTTERFIELD ROAD, UNIT 104
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1174925663 (312) 818-4650
MD @ Home Illinois, Sc
8.7 mi
Internal Medicine
2003 W FULTON ST STE 303
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 127 clinicians in this Medicare group
NPI 1568758415 (312) 243-2223
Harmonycares Complete Health Services, PLLC
673 mi
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1093543902 (855) 396-9643

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 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Phillip Carr's NPI number?

The NPI number for Phillip Carr is 1538813936. It was assigned to this individual provider in the NPPES registry on February 5, 2022.

Where is Phillip Carr located?

Phillip Carr practices at 1408 S 10th Ave, Maywood, IL 60153. The listed phone number is (630) 999-1143.

What is Phillip Carr's specialty?

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

Is Phillip Carr enrolled in Medicare?

Yes. Phillip Carr is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Phillip Carr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Carr reassigns Medicare benefits to 3 organizations: Vpa PC (Oakbrook Terrace, IL), MD @ Home Illinois, Sc (Chicago, IL) and Harmonycares Complete Health Services, PLLC (Jackson, MS). 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 Phillip Carr'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 Phillip Carr was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.