TRESHA CARROLL DO
NPI 1932132552
Family Medicine in Longview, WA

Q: What is Tresha Carroll's NPI number?

The NPI number for Tresha Carroll is 1932132552. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Q: What is Tresha Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tresha Carroll was last updated on October 30, 2023. 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.

Active since July 08, 2006PECOS Enrolled

784 14TH AVE, LONGVIEW, WA 98632(360) 703-6400(360) 353-3611 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Feb 11, 2019 (2 updates tracked since 2019).

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About Tresha Carroll Do NPPES

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

TRESHA CARROLL DO (NPI 1932132552) is an individual family medicine provider in Longview, Washington, licensed in Washington (OP00001788) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1932132552

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRESHA CARROLLCredential: DO

Location Address784 14TH AVELongview, WA 98632-2315

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1342

Phone(360) 703-6400

Fax(360) 353-3611

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 8, 2006

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1932132552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP00001788

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

784 14TH AVE, Longview, WA 98632

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Other Identifiers 1

Medicaid1037032WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tresha Carroll Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103940234

PECOS Enrollment IDI20100826000562

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers29 claims78 services$4.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims21 services$14.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims22 services$84.63 avg. paid by Medicare

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810

DME-Other DME · category DE000N

1 supplier12 claims12 services$88.52 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$0.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 17

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

MS. JAN CARLIN KHOURI APRN

Nurse Practitioner (Family)