MRS. KAREN D CARROLL (FNP) – Primary Care Nurse Practitioner, NPI 1063907772
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KAREN D CARROLL (FNP)
755 SCOTT CIR
JBPHH, HI 968535399
Phone: (808) 448-6104
Fax: (808) 448-6355
Type: Location
PO BOX 746079
ATLANTA, GA 303746079
Phone: (808) 209-0513
Type: Mailing
4801 S COOPER ST STE 401
ARLINGTON, TX 760175963
Phone: (817) 813-7100
Fax: (817) 382-5458
Type: Location
4912 MAPLE AVE
MCALLEN, TX 78501
Phone: (808) 209-0513
Type: Mailing
1229, South Veterans Boulevard, Tupelo, Lee County, Mississippi, 38801, United States
SAN JUAN, TX 785893232
Phone: (956) 362-8365
Fax: (956) 787-5486
Type: Location
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 782365638
Phone:
Type: Mailing
3660 STANLEY ROAD
APO, AA 78209
Phone: (808) 209-0513
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-10-27 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
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: 2019-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190712001915 | I | Nurse Practitioner | HI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96853)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | HI | |
| Diagnostic Radiology, Interventional Radiology | DE | |
| Family Practice | HI | |
| - | CA | |
| Cardiovascular Disease (Cardiology) | NV | |
| Family Practice | NY | |
| Cardiovascular Disease (Cardiology) | VA | |
| Interventional Cardiology, Internal Medicine | OR | |
| Diagnostic Radiology | NY | |
| Nurse Practitioner | CO |
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