OLIVIA CARRASQUILLO (NP) – Gerontology Nurse Practitioner, NPI 1669827572
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for OLIVIA CARRASQUILLO (NP)
10 PRESIDENTIAL BLVD
SUITE 124
BALA CYNWYD, PA 190041107
Phone: (610) 664-9700
Type: Mailing
3998, Red Lion Road, Crestmont Farms, Philadelphia, Philadelphia County, Pennsylvania, 19114, United States
SUITE 240
PHILADELPHIA, PA 19114
Phone: (215) 632-3500
Fax: (215) 632-6335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($93).
Total Amount
$439
General + Research + Ownership
Payments
22
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-06-10
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 |
|---|---|---|---|---|
| I20160610000412 | I | Nurse Practitioner | PA | 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 19004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| A N E S T H E S I O L O G Y | PA | |
| Pulmonary Disease, Critical Care (Intensivists), Hospitalist | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| General Surgery | PA | |
| - | PA | |
| P A T H O L O G Y | PA | |
| - | PA |
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