Carrie A Irvin, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA2004-0015 Issued in NM

Practice address

1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160

Phone

(505) 503-8806

Fax

(888) 503-8511

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as group

Quality

64.55

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabilitation Partners

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1033492673
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1013115237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 EUBANK BLVD NE SUITE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144908",
            "telephone_number": "505-503-8806",
            "fax_number": "888-503-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUBANK BLVD NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124160",
            "telephone_number": "505-503-8806",
            "fax_number": "888-503-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2004-0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97175323",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa A Irizarry
• Monique Iron Shell
• Alissa Montano Irons, O.D.
• Clare Marie Ironside, FNP-BC
• Alyssa Irvin
• David A. Irvin, DDS, PC
• Rachel Irvin
• Deborah A Irving, SLP
• Dequez Irving
• Irwin John Isaacs, M.D.

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.