MARY CARROLL FNP
NPI 1639535834
Nurse Practitioner - Family in Orange, CA
About Mary Carroll Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CARROLL FNP (NPI 1639535834) is an individual family provider in Orange, California, licensed in California (95003461) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duarte, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mary Carroll 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Mary Carroll's NPI number?
The NPI number for Mary Carroll is 1639535834. It was assigned to this individual provider in the NPPES registry on January 5, 2016.
Where is Mary Carroll located?
Mary Carroll practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (800) 465-3203.
What is Mary Carroll's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Carroll enrolled in Medicare?
Yes. Mary Carroll 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.
When was this NPI record last updated?
The NPPES record for Mary Carroll was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Mary Carroll, FNP · NPI 1639535834
Family physician in Orange, California. Individual provider, active in the CMS NPPES registry since January 5, 2016.
## Identity
- **NPI:** 1639535834 (Entity type: Individual)
- **Enumerated:** January 5, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95003461 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (800) 465-3203
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639535834) · Data from the CMS NPPES public registry.