CARISSA AH YO (MS, RD) – Registered Dietitian, NPI 1376936054

CARISSA AH YO (MS, RD) is a healthcare provider. based in Colorado springs, Colorado. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD. The NPI Number for CARISSA AH YO (MS, RD) is 1376936054

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CARISSA AH YO (MS, RD)
NPI
1376936054
Phone
(719) 632-7641
Address
1914 LELARAY ST
Enumeration Date
5 March 2015
Last Update Date
5 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196327641
Graduation Year
2011 (15 years ago)
PAC ID
7113202615
Group Practice PAC ID
7719884931
Professional Enrollment ID
I20170324000601
Address ID
CO809092800CO1914XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:11State licenses:0Digital endpointsOther names

136 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CO

Provider Addresses for CARISSA AH YO (MS, RD)

  • 1914 LELARAY ST

    COLORADO SPRINGS, CO 809092800

    Phone: (719) 632-7641

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-03-24

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
I20170324000601IRegistered Dietitian Or Nutrition ProfessionalCOTBD

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
97802Therapy procedure for nutrition management, each 15 minutes7118$0
View full utilization report →

Insurance plans in this area (ZIP 80909)

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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: 7719884931View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Nurse PractitionerCO
-CA
Nephrology, Internal MedicineCO
Internal Medicine, NephrologyCO
Nephrology, Internal MedicineCO
Nephrology, Internal MedicineTX
-MT
Nurse PractitionerCO
Nephrology, Internal MedicineCO

Reviews

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Frequently asked questions

What unique ID ties claims to CARISSA AH YO (MS, RD)?
NPI 1376936054 is assigned to CARISSA AH YO (MS, RD) under the national enumeration system.
Is CARISSA AH YO (MS, RD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CARISSA AH YO (MS, RD) work in?
You can think of CARISSA AH YO (MS, RD) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location metadata exists for CARISSA AH YO (MS, RD)?
The page summarizes Colorado Springs, Colorado for CARISSA AH YO (MS, RD); expand the address list for detail.
What if Colorado Springs, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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