CHARISSA MARIE CARROLL MD
NPI 1831943067
Student in an Organized Health Care Education/Training Program in Muncie, IN

Active since April 15, 2024PECOS Enrolled
221 N CELIA AVE, MUNCIE, IN 47303(765) 747-3141 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charissa Marie Carroll Md NPPES

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

CHARISSA MARIE CARROLL MD (NPI 1831943067) is an individual student in an organized health care education/training program in Muncie, Indiana and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831943067
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHARISSA MARIE CARROLLCredential: MD
Location Address221 N CELIA AVEMuncie, IN 47303-4609
Mailing Address221 N Celia AveMuncie, IN 47303-4609 · (765) 747-3141
Sole ProprietorNo
Enumeration DateApril 15, 2024
NPPES CertifiedApril 3, 2024
NPI 1831943067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

221 N CELIA AVE, Muncie, IN 47303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charissa Marie Carroll Md 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.

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.

Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Psychologist (Health Service)
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831943067, enumerated as an "individual" on April 15, 2024.

The provider is located at 221 N CELIA AVE MUNCIE, IN 47303 and the phone number is (765) 747-3141.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.