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CARISSA JEAN ILDEFONSO VEA MD
NPI 1952516619
Family Medicine in Lavale, MD

Active since May 14, 2007PECOS Enrolled
1313 NATIONAL HIGHWAY, LAVALE, MD 21502(240) 362-0288 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carissa Jean Ildefonso Vea Md NPPES

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

CARISSA JEAN ILDEFONSO VEA MD (NPI 1952516619) is an individual family medicine provider in Lavale, Maryland, licensed in Maryland (D0069419) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lavale.

NPPES Registry Identity

NPI1952516619
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARISSA JEAN ILDEFONSO VEACredential: MD
Location Address1313 NATIONAL HIGHWAYLavale, MD 21502
Mailing Address9910 Franklin Square Dr # 2110Baltimore, MD 21236-4902 · (410) 933-5412
Phone(240) 362-0288
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJune 4, 2018
✔ NPI 1952516619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0069419✔ Licensed in PA · MT188480
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.
1313 NATIONAL HIGHWAY, Lavale, MD 21502
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Secondary Practice Location 1

Location 11313 National HighwayLavale, MD 21502 · Phone (240) 362-0288

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Jean Ildefonso Vea 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carissa Jean Vea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care, PC - Pennsylvania
30 mi
Urgent Care
1490 N CENTER AVE, SUITE 100
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1164766440 (814) 443-4740
Medexpress Urgent Care, PC - Virginia
49 mi
Urgent Care
207 GATEWAY DRIVE
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1386989689 (540) 535-1029
Johns Hopkins Community Physicians, Inc
100 mi
Skilled Nursing Facility
7929 WESTPARK DR
Tysons, VA 22102
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1437970373 (Maryland)
  • 691 clinicians in this Medicare group
NPI 1790631695 (571) 617-0200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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 Carissa Jean Vea's NPI number?

The NPI number for Carissa Jean Vea is 1952516619. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Carissa Jean Vea located?

Carissa Jean Vea practices at 1313 National Highway, Lavale, MD 21502. The listed phone number is (240) 362-0288.

What is Carissa Jean Vea's specialty?

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

Is Carissa Jean Vea enrolled in Medicare?

Yes. Carissa Jean Vea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carissa Jean Vea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Jean Vea reassigns Medicare benefits to 3 organizations: Medexpress Urgent Care, PC - Pennsylvania (Somerset, PA), Medexpress Urgent Care, PC - Virginia (Winchester, VA) and Johns Hopkins Community Physicians, Inc (Tysons, VA). 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 Carissa Jean Vea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carissa Jean Vea was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.