MRS. CAROL THEODORE FNP
NPI 1609092824
Nurse Practitioner - Family in Somers, NY
About Mrs. Carol Theodore Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROL THEODORE FNP (NPI 1609092824) is an individual family provider in Somers, New York, licensed in New York (F333595) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mrs. Carol Theodore 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.
Medicare Billing Reassignment
Medicare enrollment records show Carol Theodore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- 206 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 10589 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Carol Theodore's NPI number?
The NPI number for Carol Theodore is 1609092824. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Carol Theodore located?
Carol Theodore practices at Colonial Court 374 Route 116, Somers, NY 10589. The listed phone number is (914) 276-0880.
What is Carol Theodore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Theodore enrolled in Medicare?
Yes. Carol Theodore 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 organization bills Medicare for Carol Theodore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Theodore reassigns Medicare benefits to Refuah Health Center, Inc. (Spring Valley, 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 Carol Theodore'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 Carol Theodore was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Carol Theodore, FNP · NPI 1609092824
Family physician in Somers, New York. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1609092824 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F333595 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** COLONIAL COURT, 374 ROUTE 116, Somers, NY 10589
- **Phone:** (914) 276-0880 · **Fax:** (914) 276-0883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Refuah Health Center, Inc. (NPI 1114621182, Spring Valley, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 5, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 0699G1 (NY); Medicare UPIN Q29525 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1609092824) · Data from the CMS NPPES public registry.