MR. MARK ANTHONY CARREON (MSN, ACNP) – Nurse Practitioner, NPI 1063757573

MR. MARK ANTHONY CARREON (MSN, ACNP) is a healthcare provider. based in Plano, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, ACNP. They hold a License No. APRN-2030 (HI). The NPI Number for MR. MARK ANTHONY CARREON (MSN, ACNP) is 1063757573

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANTHONY CARREON (MSN, ACNP)
NPI
1063757573
Phone
(682) 551-3109
Address
1100 ALLIED DR
Enumeration Date
10 December 2012
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085230445
Graduation Year
2011 (15 years ago)
PAC ID
7315184918
Group Practice PAC ID
5698759066
Professional Enrollment ID
I20160114000862
Address ID
HI968173564HO1520XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

887 NURSE PRACTITIONER in HI

Provider Addresses for MR. MARK ANTHONY CARREON (MSN, ACNP)

  • 1100 ALLIED DR

    PLANO, TX 750935348

    Phone: (682) 551-3109

    Type: Mailing

  • 98-211 Pali Momi St Ste 320

    Aiea, HI 967014306

    Phone: (808) 523-0445

    Fax: (808) 356-3380

    Type: Location

  • 1520 LILIHA ST STE 601

    HONOLULU, HI 968173564

    Phone: (808) 523-0445

    Fax: (808) 356-3380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,058.

Total Amount is formed as General ($1,058) + Research ($0) + Ownership ($0) = $1,058.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amgen Inc. ($461).

Total Amount

$1,058

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-14

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
I20160114000862INurse PractitionerHITBD

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
90961Dialysis services, 2-3 physician visits per month (20 years or older)12542$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)9534$0
90962Dialysis services, 1 physician visit per month (20 years or older)2620$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 5698759066View full group profile
NameSpecialtyState
Nurse PractitionerHI
N E P H R O L O G YAL
Nephrology, Internal MedicineHI
Nurse PractitionerHI
Nurse PractitionerHI
Nurse PractitionerHI
Nurse PractitionerDE
-HI
Nurse PractitionerHI
-HI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. MARK ANTHONY CARREON (MSN, ACNP)?
MR. MARK ANTHONY CARREON (MSN, ACNP) — NPI 1063757573 — is the standard way to identify this listing.
Does CMS list MR. MARK ANTHONY CARREON (MSN, ACNP) as active?
Yes — MR. MARK ANTHONY CARREON (MSN, ACNP) is active in the NPI listing used on this page.
What taxonomy line describes MR. MARK ANTHONY CARREON (MSN, ACNP)?
For research purposes, treat MR. MARK ANTHONY CARREON (MSN, ACNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MARK ANTHONY CARREON (MSN, ACNP)?
MR. MARK ANTHONY CARREON (MSN, ACNP)'s geographic hint is Plano, Texas in our summary view.
Why does MR. MARK ANTHONY CARREON (MSN, ACNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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