MRS. CARLA A HILTON ARNP
NPI 1629266382
Nurse Practitioner - Primary Care in Eureka, KS

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1602 N ELM ST, EUREKA, KS 67045(620) 583-7436(620) 583-6848 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carla A Hilton Arnp NPPES

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

MRS. CARLA A HILTON ARNP (NPI 1629266382) is an individual primary care provider in Eureka, Kansas, licensed in Kansas (46062) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Susan B Allen Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629266382
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. CARLA A HILTONCredential: ARNP
Location Address1602 N ELM STEureka, KS 67045-1090
Mailing Address1602 N Elm StEureka, KS 67045-1090 · (620) 583-7436 · Fax (620) 583-6848
Fax(620) 583-6848
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 9, 2007
NPI 1629266382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in KS · 46062
1602 N ELM ST, Eureka, KS 67045

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carla A Hilton Arnp 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 ID5890877732
PECOS Enrollment IDI20090819000901
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Susan B Allen Memorial Hospital

Acute Care Hospitals · El Dorado, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170017
Location720 W Central StEl Dorado, KS 67042 · Butler County
Emergency services Birthing friendly

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67045 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1602 N ELM ST
EUREKA, KS 67045
Clinic/Center (Federally Qualified Health Center (FQHC))
1602 N ELM ST
EUREKA, KS 67045
Pharmacy
1602 N ELM ST
EUREKA, KS 67045
Pharmacist
1602 N ELM ST
EUREKA, KS 67045
Dentist (General Practice)
1602 N ELM ST
EUREKA, KS 67045

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 Hilton's NPI number?

The NPI number for Carla Hilton is 1629266382. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Carla Hilton located?

Carla Hilton practices at 1602 N Elm St, Eureka, KS 67045. The listed phone number is (620) 583-7436.

What is Carla Hilton's specialty?

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

Is Carla Hilton enrolled in Medicare?

Yes. Carla Hilton 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.

What insurance does Carla Hilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Carla Hilton 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.

Is Carla Hilton affiliated with any hospitals?

According to CMS data, Carla Hilton is affiliated with Susan B Allen Memorial Hospital and Wesley Medical Center.

When was this NPI record last updated?

The NPPES record for Carla Hilton was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.