CAROL W KARUCI PMHNP-BC, APRN
NPI 1861087942
Nurse Practitioner - Psychiatric/Mental Health in Acton, MA

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
289 GREAT RD STE G1, ACTON, MA 01720(978) 679-1200(978) 486-4037 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2021, Mar 14, 2021, Mar 1, 2021 (3 updates tracked since 2021).

About Carol W Karuci Pmhnp-bc, Aprn NPPES

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

CAROL W KARUCI PMHNP-BC, APRN (NPI 1861087942) is an individual psychiatric/mental health provider in Acton, Massachusetts, licensed in Massachusetts (2304790) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861087942
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL W KARUCICredential: PMHNP-BC, APRN
Location Address289 GREAT RD STE G1Acton, MA 01720-4766
Mailing Address289 Great Rd Ste G1Acton, MA 01720-4766 · (978) 679-1200 · Fax (978) 486-4037
Fax(978) 486-4037
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 1, 2021
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1861087942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · 2304790
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2304790 (MA)
289 GREAT RD STE G1, Acton, MA 01720

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol W Karuci Pmhnp-bc, Aprn 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 ID9133515331
PECOS Enrollment IDI20220414001240
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carol Karuci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
289 GREAT ROAD, SUITE G1
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 27 clinicians in this Medicare group
Psychiatric/Mental Health
90 MADISON ST STE 500
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01720 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 9

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

Counselor (Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Nurse Practitioner (Psychiatric/Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Nurse Practitioner (Psychiatric/Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Pharmacy (Long Term Care Pharmacy)
289 GREAT RD STE G1
ACTON, MA 01720
Counselor (Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Counselor (Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Nurse Practitioner (Psychiatric/Mental Health)
289 GREAT RD STE G1
ACTON, MA 01720
Pharmacist
289 GREAT RD STE G1
ACTON, MA 01720

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 Carol Karuci's NPI number?

The NPI number for Carol Karuci is 1861087942. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Carol Karuci located?

Carol Karuci practices at 289 Great Rd Ste G1, Acton, MA 01720. The listed phone number is (978) 679-1200.

What is Carol Karuci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carol Karuci enrolled in Medicare?

Yes. Carol Karuci 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.

Which organizations bill Medicare for Carol Karuci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Karuci reassigns Medicare benefits to 2 organizations: New England Center For Mental Health LLC (Acton, MA) and Seen N Heard Center For Mindful Wellbeing LLC (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Karuci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Karuci accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Carol Karuci 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 Carol Karuci was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.