CIARAN GEORGE CARROLL FNP, MSN
NPI 1720597339
Nurse Practitioner - Family in Clearlake, CA
About Ciaran George Carroll Fnp, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CIARAN GEORGE CARROLL FNP, MSN (NPI 1720597339) is an individual family provider in Clearlake, California, licensed in California (95006668) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ciaran George Carroll Fnp, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Ciaran Carroll's NPI number?
The NPI number for Ciaran Carroll is 1720597339. It was assigned to this individual provider in the NPPES registry on September 26, 2017.
Where is Ciaran Carroll located?
Ciaran Carroll practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-2400.
What is Ciaran Carroll's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ciaran Carroll enrolled in Medicare?
Yes. Ciaran Carroll is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ciaran Carroll was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ciaran George Carroll, FNP, MSN · NPI 1720597339
Family physician in Clearlake, California. Individual provider, active in the CMS NPPES registry since September 26, 2017.
## Identity
- **NPI:** 1720597339 (Entity type: Individual)
- **Enumerated:** September 26, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006668 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15230 LAKESHORE DR, Clearlake, CA 95422
- **Phone:** (707) 995-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720597339) · Data from the CMS NPPES public registry.