CARLA MUNDT – Family Nurse Practitioner, NPI 1457948366

CARLA MUNDT is a healthcare provider. based in Tucson, Arizona. specializing in NURSE PRACTITIONER. They hold a License No. 249343 (AZ). The NPI Number for CARLA MUNDT is 1457948366

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CARLA MUNDT
NPI
1457948366
Phone
(520) 526-9699
Address
1925 W ORANGE GROVE RD STE 105
Enumeration Date
26 December 2020
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5205269699
Graduation Year
2020 (6 years ago)
PAC ID
4082028154
Group Practice PAC ID
3173859147
Professional Enrollment ID
I20210201001817
Address ID
AZ857041150TU1925XRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for CARLA MUNDT

  • 1925 W ORANGE GROVE RD STE 105

    TUCSON, AZ 857041150

    Phone: (520) 526-9699

    Type: Location

  • 6912 S QUENTIN ST STE 50

    CENTENNIAL, CO 801124531

    Phone: (720) 282-2377

    Type: Mailing

  • PO BOX 36004

    TUCSON, AZ 857406004

    Phone: (520) 505-7879

    Type: Mailing

  • 7898 E Acoma Dr Ste 106

    Scottsdale, AZ 852603480

    Phone: (480) 573-5165

    Type: Location

  • 2990 N CAMPBELL AVE STE 230

    TUCSON, AZ 857192995

    Phone: (520) 529-2971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Eisai Inc. ($56).

Total Amount

$73

General + Research + Ownership

Payments

5

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210201001817INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less1613$0
View full utilization report →

Insurance plans in this area (ZIP 85704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173859147View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerOK
Nurse PractitionerAZ
Nurse PractitionerOK
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is CARLA MUNDT identified in CMS data?
CMS-hosted NPPES data lists CARLA MUNDT with NPI 1457948366.
Is CARLA MUNDT listed as active for patients and plans?
The listing shows CARLA MUNDT as active in the NPI system.
What taxonomy line describes CARLA MUNDT?
For research purposes, treat CARLA MUNDT as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CARLA MUNDT?
CARLA MUNDT's geographic hint is Tucson, Arizona in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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