KATIE JANETTE CARILLON P.A.C.
NPI 1649538679
Physician Assistant - Medical in Maumelle, AR
About Katie Janette Carillon P.a.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE JANETTE CARILLON P.A.C. (NPI 1649538679) is an individual medical provider in Maumelle, Arkansas, licensed in Arkansas (PA468) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Katie Janette Carillon P.a.c. 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 2
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katie Carillon's NPI number?
The NPI number for Katie Carillon is 1649538679. It was assigned to this individual provider in the NPPES registry on April 27, 2012.
Where is Katie Carillon located?
Katie Carillon practices at 1701 Club Manor Dr Ste 2B, Maumelle, AR 72113. The listed phone number is (501) 843-4555.
What is Katie Carillon's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Katie Carillon enrolled in Medicare?
Yes. Katie Carillon 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 Katie Carillon accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Katie Carillon 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 Katie Carillon was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Katie Janette Carillon, P.A.C. · NPI 1649538679
Medical physician in Maumelle, Arkansas. Individual provider, active in the CMS NPPES registry since April 27, 2012.
## Identity
- **NPI:** 1649538679 (Entity type: Individual)
- **Enumerated:** April 27, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA468 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 CLUB MANOR DR STE 2B, Maumelle, AR 72113-7401
- **Phone:** (501) 843-4555 · **Fax:** (501) 743-1550
## 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:** September 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649538679) · Data from the CMS NPPES public registry.