Individual provider Active NPI

Carmen Elena Carrabis, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1023359189
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4807 Issued in AZ
Practice address
9133 S Stony Island Ave
Chicago, IL 60617-3512
Phone
(773) 375-3312
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4807 AZ Primary

Addresses

Primary practice location

9133 S Stony Island Ave
Chicago, IL 60617-3512

Mailing address

9133 S Stony Island Ave
Chicago, IL 60617-3512
Phone (773) 375-3312

Other practice location 1

6025 N 27th Ave
Suite 7
Phoenix, AZ 85017-1763
Phone (602) 428-8888

Other practice location 2

9500 E. Ironwood Square Drive
Suite 125
Scottsdale, AZ 85258-4582
Phone (480) 626-2552

Other practice location 3

4838 E. Baseline Rd
BLDG 2, Suite 109
Mesa, AZ 85206-4677
Phone (480) 626-2552

Other identifiers 2

IdentifierTypeStateIssuer
883903MedicaidAZ
Z223995OtherAZMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130920000124 AZ Practitioner - Nurse Practitioner 0446494082 Reassigns benefits to 2 organizations
I20240801004264 IL Practitioner - Nurse Practitioner 0446494082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Consultants LLCGroup PAC ID 4284922204, 10 clinicians

Practice addresses (Care Compare)

2629 N Scottsdale Rd
Suite 200
Scottsdale, AZ 85257-1370
Phone (480) 626-2552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4807AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince May 1, 2014 Accepting new patients
Stellar Home Network CurrentSince Jul 1, 2024 Accepting new patients
Banks Chiropractic and Medical LTD. Current Accepting new patients
Brian S Page DO LLC CurrentSince May 1, 2014 Accepting new patients
Integrated Pain Consultants, LLC PastSince May 25, 2021 Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

3035 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (623) 295-4906

4140 N 108th Ave
Ste 134
Phoenix, AZ 85037
Phone (623) 295-4901

2701 N 16th St
Ste 111
Phoenix, AZ 85006
Phone (480) 620-1687

3530 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (847) 261-2541

Interoperability endpoints

  • Direct secure messaging: carmen.carrabis.1@32227.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1023359189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 N 27th Ave",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850171763",
            "country_code": "US",
            "telephone_number": "602-428-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 E. IRONWOOD SQUARE DRIVE",
            "address_2": "SUITE 125",
            "address_purpose": "LOCATION",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4838 E. BASELINE RD",
            "address_2": "BLDG 2, SUITE 109",
            "address_purpose": "LOCATION",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064677",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRABIS",
        "first_name": "CARMEN",
        "middle_name": "ELENA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883903",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z223995",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.