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CAROL AVILA ACNP
NPI 1629443502
Nurse Practitioner - Acute Care in Green Valley, AZ

Active since December 03, 2015PECOS EnrolledAccepts Medicare Assignment
400 W CAMINO CASA VERDE STE 100, GREEN VALLEY, AZ 85614(520) 625-1760(520) 648-9496 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2017, Dec 3, 2015 (2 updates tracked since 2015).

About Carol Avila Acnp NPPES

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

CAROL AVILA ACNP (NPI 1629443502) is an individual acute care provider in Green Valley, Arizona, licensed in Arizona (AP8318) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629443502
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCAROL AVILACredential: ACNP
Location Address400 W CAMINO CASA VERDE STE 100Green Valley, AZ 85614-3569
Mailing Address400 W Camino Casa Verde Ste 100Green Valley, AZ 85614-3569 · (520) 625-1760 · Fax (520) 648-9496
Phone(520) 625-1760
Fax(520) 648-9496
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 3, 2015
Last NPPES UpdateMay 10, 20172 updates tracked since enumeration
✔ NPI 1629443502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · AP8318
400 W CAMINO CASA VERDE STE 100, Green Valley, AZ 85614
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Insurance Company.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

Carol Avila Acnp 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 ID7517265457
PECOS Enrollment IDI20160411000914
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
110 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 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 2

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

MR. MATTHEW DAVID MICHAUD FNP
Nurse Practitioner (Family)
400 W CAMINO CASA VERDE STE 100
GREEN VALLEY, AZ 85614
Pima County (520) 625-1760
TIA HENG MD
Internal Medicine
400 W CAMINO CASA VERDE STE 100
GREEN VALLEY, AZ 85614
Pima County (520) 625-1760

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 Avila's NPI number?

The NPI number for Carol Avila is 1629443502. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Where is Carol Avila located?

Carol Avila practices at 400 W Camino Casa Verde Ste 100, Green Valley, AZ 85614. The listed phone number is (520) 625-1760.

What is Carol Avila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carol Avila enrolled in Medicare?

Yes. Carol Avila 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 Carol Avila accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Insurance Company list Carol Avila 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 Carol Avila was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.