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DR. MARTHA CARRILLO PH.D., F NP-C
NPI 1689121931
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since September 03, 2016PECOS Enrolled
96.89/100
CMS Quality Rating
40 E MITCHELL DR STE 100&200, PHOENIX, AZ 85012(602) 685-6000(602) 264-4095 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Feb 11, 2020, Sep 3, 2016 (3 updates tracked since 2016).

About Dr. Martha Carrillo Ph.d., F Np-c NPPES

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

DR. MARTHA CARRILLO PH.D., F NP-C (NPI 1689121931) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP8960) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689121931
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MARTHA CARRILLOCredential: PH.D., F NP-C
Location Address40 E MITCHELL DR STE 100&200Phoenix, AZ 85012-2330
Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (602) 302-7925
Phone(602) 685-6000
Fax(602) 264-4095
Sole ProprietorNo
Enumeration DateSeptember 3, 2016
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1689121931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · AP8960
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TAP8960 (AZ)
40 E MITCHELL DR STE 100&200, Phoenix, AZ 85012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martha Carrillo Ph.d., F Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Martha Carrillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Terros, Inc.
0.1 mi
Mental Health (Including Community Mental Health Center)
40 E MITCHELL DR STE 100&200
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 119 clinicians in this Medicare group
NPI 1639900558 (602) 685-6000
Lifewell Behavioral Wellness
0.3 mi
Community/Behavioral Health
202 E EARLL DR, SUITE 200
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1417050337 (602) 808-2800
Southwest Network, Inc.
5.0 mi
Community/Behavioral Health
2311 W ROYAL PALM RD
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1306097886 (602) 269-5300
Alliance Urgent Care PLLC
12 mi
Emergency Medical Services
9897 W. MCDOWELL RD
Tolleson, AZ 85353
  • Reassigned Medicare billing, Arizona enrollment
  • 21 clinicians in this Medicare group
NPI 1891888517 (719) 268-5305

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.
21 services15 patients
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.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

96.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.99
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 7

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

LIFEWELL BEHAVIORAL WELLNESS
Community/Behavioral Health
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 808-2800
PALLAVI RAO DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000
JESSICA ANN SCHUSTER DNP- PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000
DR. AMY MANDILE DNP-FNP-C
Nurse Practitioner (Family)
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000
MR. JARED MATTHEW ROWLAND LPC
Counselor (Professional)
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000
TERROS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000
TERROS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
40 E MITCHELL DR STE 100&200
PHOENIX, AZ 85012
Maricopa County (602) 685-6000

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 Martha Carrillo's NPI number?

The NPI number for Martha Carrillo is 1689121931. It was assigned to this individual provider in the NPPES registry on September 3, 2016.

Where is Martha Carrillo located?

Martha Carrillo practices at 40 E Mitchell Dr Ste 100&200, Phoenix, AZ 85012. The listed phone number is (602) 685-6000.

What is Martha Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Martha Carrillo enrolled in Medicare?

Yes. Martha Carrillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martha Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Carrillo reassigns Medicare benefits to 4 organizations: Terros, Inc. (Phoenix, AZ), Lifewell Behavioral Wellness (Phoenix, AZ), Southwest Network, Inc. (Phoenix, AZ) and Alliance Urgent Care PLLC (Tolleson, AZ). 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 Martha Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Carrillo accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Martha Carrillo 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 Martha Carrillo was last updated on March 24, 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.