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MS. CYNTHIA CARMONA APN
NPI 1679007629
Nurse Practitioner in Chicago, IL

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
7715 N HERMITAGE AVE, CHICAGO, IL 60626(630) 649-0636 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Apr 17, 2017 (2 updates tracked since 2017).

About Ms. Cynthia Carmona Apn NPPES

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

MS. CYNTHIA CARMONA APN (NPI 1679007629) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.014818) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679007629
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CYNTHIA CARMONACredential: APN
Location Address7715 N HERMITAGE AVEChicago, IL 60626-1033
Mailing Address7715 N Hermitage AveChicago, IL 60626-1033 · (630) 649-0636
Phone(630) 649-0636
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 17, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1679007629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.014818
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209014818 (IL)
7715 N HERMITAGE AVE, Chicago, IL 60626
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Secondary Practice Locations 2

Location 12216 W Thomas StChicago, IL 60622-3778 · Phone (312) 770-2272
Location 21431 N Claremont Ave Ste 2S06Chicago, IL 60622-1702 · Phone (312) 633-5900 · Fax (312) 633-5901

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Cynthia Carmona Apn 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 ID7214204007
PECOS Enrollment IDI20170526001051
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Cynthia Carmona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Sinai Community Foundation
0.9 mi
Obstetrics & Gynecology
26460 NETWORK PL
Chicago, IL 60673
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1356779532 (708) 786-2900
Endeavor Health Medical Group
3.0 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Elmhurst Anesthesiologists, PC
16 mi
Anesthesiology
200 BERTEAU AVE
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
NPI 1376586610 (630) 833-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
65 services48 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.
35 services22 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60626 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier20 claims20 services$51.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CYNTHIA CARMONA
Clinic/Center (Infusion Therapy)
7715 N HERMITAGE AVE, 2E
CHICAGO, IL 60626
Cook County (630) 649-0636

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 Cynthia Carmona's NPI number?

The NPI number for Cynthia Carmona is 1679007629. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Cynthia Carmona located?

Cynthia Carmona practices at 7715 N Hermitage Ave, Chicago, IL 60626. The listed phone number is (630) 649-0636.

What is Cynthia Carmona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cynthia Carmona enrolled in Medicare?

Yes. Cynthia Carmona 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.

Which organizations bill Medicare for Cynthia Carmona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carmona reassigns Medicare benefits to 3 organizations: Mount Sinai Community Foundation (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Elmhurst Anesthesiologists, PC (Elmhurst, IL). Each 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 Cynthia Carmona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Carmona accept?

Health plans from Blue Cross and Blue Shield of Texas list Cynthia Carmona 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 Cynthia Carmona affiliated with any hospitals?

According to CMS data, Cynthia Carmona is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Carmona was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.