CARLINA MARISOL MENJIVAR MD
NPI 1679871362
Family Medicine in Moses Lake, WA
About Carlina Marisol Menjivar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLINA MARISOL MENJIVAR MD (NPI 1679871362) is an individual family medicine provider in Moses Lake, Washington, licensed in Washington (MD60373874) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Carlina Marisol Menjivar Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Carlina Menjivar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moses Lake, WA 98837
- Reassigned Medicare billing, Washington enrollment
- 134 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 98837 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOSES LAKE, WA 98837
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 Carlina Menjivar's NPI number?
The NPI number for Carlina Menjivar is 1679871362. It was assigned to this individual provider in the NPPES registry on March 4, 2011.
Where is Carlina Menjivar located?
Carlina Menjivar practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.
What is Carlina Menjivar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carlina Menjivar enrolled in Medicare?
Yes. Carlina Menjivar 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 organization bills Medicare for Carlina Menjivar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlina Menjivar reassigns Medicare benefits to Moses Lake Community Health Center (Moses Lake, WA). 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 Carlina Menjivar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlina Menjivar accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carlina Menjivar 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 Carlina Menjivar was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carlina Marisol Menjivar, MD · NPI 1679871362
Family Medicine physician in Moses Lake, Washington. Individual provider, active in the CMS NPPES registry since March 4, 2011.
## Identity
- **NPI:** 1679871362 (Entity type: Individual)
- **Enumerated:** March 4, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60373874 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 605 S COOLIDGE ST, Moses Lake, WA 98837-1893
- **Phone:** (509) 765-0674 · **Fax:** (509) 765-6591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Moses Lake Community Health Center (NPI 1699862813, Moses Lake, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2009
## Record status
- **NPPES last updated:** May 14, 2014
- **Other identifiers:** Medicare PIN G8923757 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679871362) · Data from the CMS NPPES public registry.