MR. MARK ANTHONY CARREON (MSN, ACNP) – Nurse Practitioner, NPI 1063757573
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Amgen Inc. | $461 |
| Ardelyx, Inc. | $258 |
| Horizon Therapeutics plc | $125 |
| AstraZeneca Pharmaceuticals LP | $124 |
| Ascendis Pharma Inc | $91 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160114000862 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 125 | 42 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 95 | 34 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 26 | 20 | $0 |
Insurance plans in this area (ZIP 75093)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| N E P H R O L O G Y | AL | |
| Nephrology, Internal Medicine | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | DE | |
| - | HI | |
| Nurse Practitioner | HI | |
| - | HI |
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