MARY JEAL CARRASCO (NURSE PRACTITIONER) – Primary Care Nurse Practitioner, NPI 1255981122

MARY JEAL CARRASCO (NURSE PRACTITIONER) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 0995405-NP (CO). The NPI Number for MARY JEAL CARRASCO (NURSE PRACTITIONER) is 1255981122

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEAL CARRASCO (NURSE PRACTITIONER)
NPI
1255981122
Phone
(720) 941-4116
Address
3441 E 13TH AVE
Enumeration Date
12 September 2019
Last Update Date
16 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036915009
Graduation Year
2019 (7 years ago)
PAC ID
3173928116
Group Practice PAC ID
3375630361
Professional Enrollment ID
I20210830000519
Address ID
CO802242300DE6850XAVEX402

Contacts

Other Endpoint
n/a
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,198 NURSE PRACTITIONER in CO

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Provider Addresses for MARY JEAL CARRASCO (NURSE PRACTITIONER)

  • 3441, East 13th Avenue, Denver, Denver County, Colorado, 80206, United States

    DENVER, CO 802062608

    Phone: (720) 941-4116

    Type: Mailing

  • East Evans Avenue, Denver, Denver County, Colorado, 80224, United States

    DENVER, CO 802242300

    Phone: (303) 691-5009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,273.

Total Amount is formed as General ($1,273) + Research ($0) + Ownership ($0) = $1,273.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($473).

Total Amount

$1,273

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,273

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: 2021-08-30

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
I20210830000519INurse PractitionerCOTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes45692$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes33698$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes6040$0
99214Established patient office or other outpatient visit, 30-39 minutes5750$0
36415Insertion of needle into vein for collection of blood sample3532$0
View full utilization report →

Insurance plans in this area (ZIP 80206)

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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: 3375630361View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
-CO
Nurse PractitionerCO
Family PracticeCA
Nurse PractitionerCO

Reviews

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Frequently asked questions

Is MARY JEAL CARRASCO (NURSE PRACTITIONER) listed with a National Provider Identifier?
Yes — MARY JEAL CARRASCO (NURSE PRACTITIONER) has NPI 1255981122 on file in the registry.
Is MARY JEAL CARRASCO (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate MARY JEAL CARRASCO (NURSE PRACTITIONER) maintains an active NPI.
What area of care is associated with MARY JEAL CARRASCO (NURSE PRACTITIONER)?
MARY JEAL CARRASCO (NURSE PRACTITIONER)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Colorado is MARY JEAL CARRASCO (NURSE PRACTITIONER) registered?
Use Denver, Colorado as the headline location for MARY JEAL CARRASCO (NURSE PRACTITIONER) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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