CAROL PATRICIA PINA PARKER M.D.
NPI 1639574221
Pediatrics in Wilmington, DE
About Carol Patricia Pina Parker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL PATRICIA PINA PARKER M.D. (NPI 1639574221) is an individual pediatrics provider in Wilmington, Delaware, licensed in Delaware (C1-0012081) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Patricia Pina Parker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Pina Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Falling Waters, WV 25419
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 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 19805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILMINGTON, DE 19805
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 Pina Parker's NPI number?
The NPI number for Carol Pina Parker is 1639574221. It was assigned to this individual provider in the NPPES registry on October 26, 2014. The provider is also known as Carol Patricia Pina.
Where is Carol Pina Parker located?
Carol Pina Parker practices at 701 N Clayton St Ste 400, Wilmington, DE 19805. The listed phone number is (302) 421-9700.
What is Carol Pina Parker's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carol Pina Parker enrolled in Medicare?
Yes. Carol Pina Parker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Pina Parker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Pina Parker reassigns Medicare benefits to Spring Mills Medical Center (Falling Waters, WV). 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 Pina Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Pina Parker accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Carol Pina Parker 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 Pina Parker was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Carol Patricia Pina Parker, M.D. · NPI 1639574221
Pediatrics physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since October 26, 2014.
## Identity
- **NPI:** 1639574221 (Entity type: Individual)
- **Enumerated:** October 26, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** C1-0012081 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 N CLAYTON ST STE 400, Wilmington, DE 19805-3165
- **Phone:** (302) 421-9700 · **Fax:** (302) 421-9743
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spring Mills Medical Center (NPI 1235489931, Falling Waters, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639574221) · Data from the CMS NPPES public registry.