DOREEN KELLIE CARRILLO FNP
NPI 1851948046
Registered Nurse in Stockton, CA

Active since August 22, 2019PECOS Enrolled
2800 W MARCH LN, STOCKTON, CA 95219(209) 670-8000 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2021, Aug 22, 2019 (2 updates tracked since 2019).

About Doreen Kellie Carrillo Fnp NPPES

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

DOREEN KELLIE CARRILLO FNP (NPI 1851948046) is an individual registered nurse in Stockton, California, licensed in California (95012375) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851948046
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameDOREEN KELLIE CARRILLOCredential: FNP
Location Address2800 W MARCH LNStockton, CA 95219-8218
Mailing Address21270 E Ashton LnLinden, CA 95236-9580 · (209) 373-5445
Sole ProprietorYes
Enumeration DateAugust 22, 2019
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
NPI 1851948046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in CA · 95012375
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2800 W MARCH LN, Stockton, CA 95219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Doreen Kellie Carrillo Fnp 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

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

Registered Nurse
2800 W MARCH LN
STOCKTON, CA 95219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851948046, enumerated as an "individual" on August 22, 2019.

The provider is located at 2800 W MARCH LN STOCKTON, CA 95219 and the phone number is (209) 670-8000.

Registered Nurse with taxonomy code 163W00000X.