CARLA DIMIRIS (APRN PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043768906
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,763 NURSE PRACTITIONER in MD
Provider Addresses for CARLA DIMIRIS (APRN PMHNP-BC)
2057 PULASKI HWY STE 6
NORTH EAST, MD 219013744
Phone: (443) 267-2969
Type: Location
9 Nathalie Dr
Hockessin, DE 197071147
Phone: (302) 426-2041
Fax: (443) 267-6121
Type: Location
400, Lewis Street, Havre de Grace, Harford County, Maryland, 21078, United States
HAVRE DE GRACE, MD 210783405
Phone: (443) 526-6133
Fax: (443) 526-6134
Type: Mailing
9 NATHALIE DR
HOCKESSIN, DE 197071147
Phone: (302) 426-2041
Fax: (443) 267-6121
Type: Mailing
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: 2018-06-27
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 |
|---|---|---|---|---|
| I20180627002432 | I | Nurse Practitioner | MD | 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 21901)
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