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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: August 16, 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
Phone(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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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.

ANDREW GERARD
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-3141
AMANDA M EATON MD
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-8413
ALICEIN W. GODLEWSKI DO
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-8413
DR. HOLDEN D LAWSON MD
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-3141
LINDSAY GAIL PATTISON DO
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-8413
DR. JEFFREY C BIRD MD
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 741-2999
KELSEY MARIE WEST MD
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-3141
HOLLY INSKO MD
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Delaware County (765) 747-8413

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 Charissa Carroll's NPI number?

The NPI number for Charissa Carroll is 1831943067. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Charissa Carroll located?

Charissa Carroll practices at 221 N Celia Ave, Muncie, IN 47303. The listed phone number is (765) 747-3141.

What is Charissa Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charissa Carroll enrolled in Medicare?

Yes. Charissa Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charissa Carroll was last updated on April 15, 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.