CARLA ANN PAREDES (CRNP) – Nurse Practitioner, NPI 1174078976
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for CARLA ANN PAREDES (CRNP)
161 Cecil B Moore
Suite 204
Philadelphia, PA 19122
Phone: (215) 585-2144
Type: Location
230 US HIGHWAY 206
BUILDING 3, SUITE #4
FLANDERS, NJ 078369287
Phone: (155) 852-1442
Fax: (888) 201-9536
Type: Location
800, North Delaware Avenue, Northern Liberties, Philadelphia, Philadelphia County, Pennsylvania, 19123, United States
PHILADELPHIA, PA 191254338
Phone: (267) 463-5800
Fax: (215) 586-6038
Type: Location
228 PARK AVE S STE 15314
NEW YORK, NY 100031502
Phone: (866) 306-2026
Fax: (215) 586-6038
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: 2025-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180502001129 | I | Nurse Practitioner | PA | TBD |
| I20200422002421 | I | Nurse Practitioner | NJ | TBD |
| I20251230003851 | I | Nurse Practitioner | DE | 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 19122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | CT |
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