Carly Marisa Esteves, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

430913 Issued in NY

Practice address

1351 Route 55, Suite 200
Lagrangeville, NY 12540-5144

Phone

(845) 475-9646

NPI assigned

Jan 29, 2014

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

University of Maryland School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology, PLLCGroup PAC ID 0648286427, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.12 of 100Reported as group

Quality

86.27

Improvement activities

40

Cost

78.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlynp@advancedderm.emadirect.md

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

• Advanced Dermatology, PLLC

  • Dermatology Physician
  • Kingston, NY
  • NPI 1992725279
  Medicare reassignment Care Compare group NPD
• Shock Trauma Associates, P.a.

  dba Shock Trauma Associates

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  NPD

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1982027835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HUNTINGTON DR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125244985",
            "telephone_number": "845-926-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55, SUITE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405144",
            "telephone_number": "845-475-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVES",
        "first_name": "CARLY",
        "middle_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R192153",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalia Dingee
• Dra Imaging, PC
• Yvonne Ann Egitto, P.T.
• Serena Eljamal
• Tara S. Eng
• Isabelle Estremera, OTR/L
• Lynn Ann Eves, RN
• Eye Appeal Opticians, Inc.
• Marisa Nicole Ferro, MENTAL HEALTH
• Monica Lynn Fiorelli, LPN

• Acute Care Nurse Practitioner in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.