CARLA MARIE SCALMATO FNP
NPI 1598107658
Nurse Practitioner - Family in Gilbert, AZ

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
1760 E PECOS RD STE 235, GILBERT, AZ 85295(480) 813-0944 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, Aug 29, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Carla Marie Scalmato Fnp NPPES

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

CARLA MARIE SCALMATO FNP (NPI 1598107658) is an individual family provider in Gilbert, Arizona, licensed in Arizona (AP5010) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598107658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA MARIE SCALMATOCredential: FNP
Location Address1760 E PECOS RD STE 235Gilbert, AZ 85295-3207
Mailing Address1760 E Pecos Rd Ste 235Gilbert, AZ 85295-3207 · (480) 813-0944
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2013
Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1598107658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP5010
1760 E PECOS RD STE 235, Gilbert, AZ 85295

Other Names 1

Former Name (1)Carla Marie Kelly Fnp

Other Identifiers 1

Medicaid833452AZ

Accepted Insurance

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

Carla Marie Scalmato Fnp 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 ID42454647
PECOS Enrollment IDI20130923000092
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 Carla Scalmato reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3645 S ROME ST STE 204
Gilbert, AZ 85297
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
Family Medicine
7695 S RESEARCH DR
Tempe, AZ 85284
  • Reassigned Medicare billing, Arizona enrollment
  • 502 clinicians in this Medicare group
Obstetrics & Gynecology
655 E RIVER RD UNIT 201
Tucson, AZ 85704
  • Reassigned Medicare billing, Arizona enrollment
  • 157 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 85295 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

Obstetrics & Gynecology
1760 E PECOS RD STE 235
GILBERT, AZ 85295
Nurse Practitioner (Family)
1760 E PECOS RD STE 235
GILBERT, AZ 85295
Obstetrics & Gynecology
1760 E PECOS RD STE 235
GILBERT, AZ 85295
Obstetrics & Gynecology
1760 E PECOS RD STE 235
GILBERT, AZ 85295
Obstetrics & Gynecology
1760 E PECOS RD STE 235
GILBERT, AZ 85295

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 Carla Scalmato's NPI number?

The NPI number for Carla Scalmato is 1598107658. It was assigned to this individual provider in the NPPES registry on July 17, 2013. The provider is also known as Carla Marie Kelly Fnp.

Where is Carla Scalmato located?

Carla Scalmato practices at 1760 E Pecos Rd Ste 235, Gilbert, AZ 85295. The listed phone number is (480) 813-0944.

What is Carla Scalmato's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carla Scalmato enrolled in Medicare?

Yes. Carla Scalmato 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 Carla Scalmato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Scalmato reassigns Medicare benefits to 3 organizations: Honorhealth Ambulatory (Gilbert, AZ), Honorhealth Medical Group, LLC (Tempe, AZ) and Genesis Ob Gyn PLLC (Tucson, AZ). 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 Carla Scalmato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Scalmato accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Carla Scalmato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carla Scalmato was last updated on October 2, 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.