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CAREN BAUTISTA MAMARADLO
NPI 1538978176
Nurse Practitioner - Primary Care in Stewartsville, NJ

Active since January 07, 2025PECOS Enrolled
346 HAMILTON DR, STEWARTSVILLE, NJ 08886(201) 306-7333 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Caren Bautista Mamaradlo NPPES

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

CAREN BAUTISTA MAMARADLO (NPI 1538978176) is an individual primary care provider in Stewartsville, New Jersey, licensed in New Jersey (26NJ15234000) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538978176
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCAREN BAUTISTA MAMARADLO
Location Address346 HAMILTON DRStewartsville, NJ 08886-2649
Mailing Address346 Hamilton DrStewartsville, NJ 08886-2649 · (201) 306-7333
Phone(201) 306-7333
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1538978176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ15234000
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ15234000 (NJ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ15234000 (NJ)
346 HAMILTON DR, Stewartsville, NJ 08886
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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)

Caren Bautista Mamaradlo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890260335
PECOS Enrollment IDI20260413000303
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 Caren Mamaradlo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Etheridge Family Medicine, L.L.C.
36 mi
Family Medicine
27 CLYDE RD STE 102
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1700954476 (732) 246-0057

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 08886 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Caren Mamaradlo's NPI number?

The NPI number for Caren Mamaradlo is 1538978176. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Caren Mamaradlo located?

Caren Mamaradlo practices at 346 Hamilton Dr, Stewartsville, NJ 08886. The listed phone number is (201) 306-7333.

What is Caren Mamaradlo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Caren Mamaradlo enrolled in Medicare?

Yes. Caren Mamaradlo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caren Mamaradlo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caren Mamaradlo reassigns Medicare benefits to Etheridge Family Medicine, L.L.C. (Somerset, NJ). 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 Caren Mamaradlo'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 Caren Mamaradlo was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.