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CARISSA RHEA ORTEGA MSN, APRN, CPNP-AC/P
NPI 1760922678
Nurse Practitioner - Pediatrics in Oklahoma City, OK

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment
1200 CHILDRENS AVE STE 2F, OKLAHOMA CITY, OK 73104(405) 271-4411 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 28, 2018, Jan 18, 2018 and 2 more (5 updates tracked since 2017).

About Carissa Rhea Ortega Msn, Aprn, Cpnp-ac/p NPPES

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

CARISSA RHEA ORTEGA MSN, APRN, CPNP-AC/P (NPI 1760922678) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (94568) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of University Of South Alabama College Of Medicine (2016).

NPPES Registry Identity

NPI1760922678
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCARISSA RHEA ORTEGACredential: MSN, APRN, CPNP-AC/P
Location Address1200 CHILDRENS AVE STE 2FOklahoma City, OK 73104-4637
Mailing Address1200 Childrens Ave # 2fOklahoma City, OK 73104-4637 · (405) 271-4411
Phone(405) 271-4411
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2016
Enumeration DateFebruary 27, 2017
Last NPPES UpdateMarch 11, 20245 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1760922678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · 94568
1200 CHILDRENS AVE STE 2F, Oklahoma City, OK 73104
Open in Google Maps ↗

Other Names 1

Former Name (1)Carissa Declerck

Secondary Practice Location 1

Location 113913 N May AveOklahoma City, OK 73134-5035 · Phone (405) 757-7818 · Fax (405) 703-0645

Other Identifiers 1

Medicaid200700860BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Carissa Rhea Ortega Msn, Aprn, Cpnp-ac/p 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 ID6709141732
PECOS Enrollment IDI20180523000066
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 2

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

BROOKE NICOLE TUMELSON
Physician Assistant
1200 CHILDRENS AVE STE 2F
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4411
DR. STEPHEN HUDSON MD
Pediatrics (Pediatric Cardiology)
1200 CHILDRENS AVE STE 2F
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5530

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 Carissa Ortega's NPI number?

The NPI number for Carissa Ortega is 1760922678. It was assigned to this individual provider in the NPPES registry on February 27, 2017. The provider is also known as Carissa Declerck.

Where is Carissa Ortega located?

Carissa Ortega practices at 1200 Childrens Ave Ste 2F, Oklahoma City, OK 73104. The listed phone number is (405) 271-4411.

What is Carissa Ortega's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Carissa Ortega enrolled in Medicare?

Yes. Carissa Ortega 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 Carissa Ortega accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Carissa Ortega 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 Carissa Ortega was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.