NICOLE MARIE CARRILLO-COLON MD
NPI 1548989841
Emergency Medicine in San Juan, PR

Q: What is Nicole Carrillo-colon's NPI number?

The NPI number for Nicole Carrillo-colon is 1548989841. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Nicole Carrillo-colon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since August 22, 2022PECOS Enrolled

PO BOX 365067, SAN JUAN, PR 00936(787) 765-2363 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Nov 6, 2024, Aug 22, 2022 (3 updates tracked since 2022).

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About Nicole Marie Carrillo-colon Md NPPES

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

NICOLE MARIE CARRILLO-COLON MD (NPI 1548989841) is an individual emergency medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (36948) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548989841

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameNICOLE MARIE CARRILLO-COLONCredential: MD

Location AddressPO BOX 365067San Juan, PR 00936-5067

Mailing AddressPo Box 365067San Juan, PR 00936-5067 · (787) 757-1800

Phone(787) 765-2363

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 22, 2022

Last NPPES UpdateJune 24, 20263 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1548989841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PR · 36948

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Carrillo-colon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830660059

PECOS Enrollment IDI20260608003866

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 Nicole Carrillo-colon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihp Mi Emergency Medicine PLLC

Emergency Medicine

6245 INKSTER RD
Garden City, MI 48135

Reassigned Medicare billing, Michigan enrollment
83 clinicians in this Medicare group

NPI 1861147456 (484) 965-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230031

Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00936 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

$88.07 typical visit price

range $56.86 – $172.44

Typical copayment $22.01 (range $14.21 – $43.11)

Most-billed visit code 99203

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

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.

GABRIEL ALEXANDER NORIEGA SANTINI