MICHELLE CARMEN CARLO
NPI 1972180545
Nurse Practitioner - Family in Lexington, KY

Q: What is Michelle Carlo's NPI number?

The NPI number for Michelle Carlo is 1972180545. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Michelle Carlo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Carlo was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 28, 2021PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2195 HARRODSBURG RD FL 1, LEXINGTON, KY 40504(859) 323-2356(859) 323-5799 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michelle Carmen Carlo NPPES

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

MICHELLE CARMEN CARLO (NPI 1972180545) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3015938) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972180545

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE CARMEN CARLO

Location Address2195 HARRODSBURG RD FL 1Lexington, KY 40504-3516

Mailing Address2195 Harrodsburg Rd Fl 1Lexington, KY 40504-3516 · (859) 323-2356 · Fax (859) 323-5799

Phone(859) 323-2356

Fax(859) 323-5799

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 28, 2021

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1972180545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3015938

2195 HARRODSBURG RD FL 1, Lexington, KY 40504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 and accepts Medicare assignment

Michelle Carmen Carlo 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 ID1052717527

PECOS Enrollment IDI20210908003090

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.

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.

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

45 services44 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

APRIL RENEE DUNAWAY APRN

Nurse Practitioner (Family)

2195 HARRODSBURG RD FL 1
LEXINGTON, KY 40504

Fayette County (859) 562-0475

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 Michelle Carlo's NPI number?

The NPI number for Michelle Carlo is 1972180545. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Michelle Carlo located?

Michelle Carlo practices at 2195 Harrodsburg Rd Fl 1, Lexington, KY 40504. The listed phone number is (859) 323-2356.

What is Michelle Carlo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Carlo enrolled in Medicare?

Yes. Michelle Carlo 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.

What insurance does Michelle Carlo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Michelle Carlo 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.

Is Michelle Carlo affiliated with any hospitals?

According to CMS data, Michelle Carlo is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Carlo was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.