CAROLINE THERESA URBANEK – Surgical Physician Assistant, NPI 1134766868

CAROLINE THERESA URBANEK is a healthcare provider. based in Clovis, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 58002 (CA). The NPI Number for CAROLINE THERESA URBANEK is 1134766868

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE THERESA URBANEK
NPI
1134766868
Phone
(559) 320-0531
Address
604 N MAGNOLIA AVE STE 100
Enumeration Date
2 December 2019
Last Update Date
17 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177545800
Graduation Year
2020 (6 years ago)
PAC ID
8820428451
Group Practice PAC ID
2365439783
Professional Enrollment ID
I20231013001988
Address ID
MA021202847BO125XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for CAROLINE THERESA URBANEK

  • 604 N MAGNOLIA AVE STE 100

    CLOVIS, CA 936119205

    Phone: (559) 320-0531

    Fax: (559) 320-0539

    Type: Location

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Stryker Corporation ($159).

Total Amount

$260

General + Research + Ownership

Payments

2

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231013001988IPhysician AssistantMATBD
I20241009001464IPhysician AssistantNHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12025$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg4723$0
99213Established patient office or other outpatient visit, 20-29 minutes4240$0
99214Established patient office or other outpatient visit, 30-39 minutes3231$0
27130Replacement of thigh bone and hip joint with prosthesis1414$0
View full utilization report →

Insurance plans in this area (ZIP 93611)

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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: 2365439783View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Physician AssistantNJ
Nurse PractitionerMA
-MA
Physician AssistantMA
Internal MedicineMA
Orthopedic SurgeryMA
Nurse PractitionerMA
Orthopedic SurgeryMA
-MA

Reviews

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Frequently asked questions

How is CAROLINE THERESA URBANEK identified in CMS data?
CMS-hosted NPPES data lists CAROLINE THERESA URBANEK with NPI 1134766868.
Is CAROLINE THERESA URBANEK listed as active for patients and plans?
The listing shows CAROLINE THERESA URBANEK as active in the NPI system.
What is CAROLINE THERESA URBANEK's primary classification?
Surgical Physician Assistant is the headline specialty for CAROLINE THERESA URBANEK here. Clinical services aligned with this taxonomy classification.
Where is CAROLINE THERESA URBANEK based?
CAROLINE THERESA URBANEK is tied to Clovis, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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