CARLO KARIUKI NP
NPI 1932746013
Nurse Practitioner in Salem, MA
NPI Status: Active since December 07, 2019
- Individual
- Female
- Years of Experience 15
- Nurse Practitioner
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CARLO KARIUKI
This page provides the complete NPI Profile along with additional information for Carlo Kariuki, a provider established in Salem, Massachusetts with a medical specialization in Nurse Practitioner and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1932746013 assigned on December 2019. The practitioner's primary taxonomy code is 363L00000X with license number RN2280583 (MA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1932746013
- Provider Name
- CARLO KARIUKI NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 352 LAFAYETTE ST SALEM, MA 01970
- Location Phone
- (978) 542-6000
- Mailing Address
- 352 LAFAYETTE ST SALEM, MA 01970
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-07-2019
- Last Update Date
- 12-07-2019
- Code Navigator
A nurse practitioner (NP) like Carlo Kariuki is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN2280583
- License State
- MA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Carlo Kariuki is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Carlo Kariuki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3375921810
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220613000050
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 45 minutes
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 22 times for 18 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 203 times for 26 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 107 times for 21 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 13 times for 13 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 17 times for 17 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01970 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 7 | 4 | 6 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 14 | 4 | 12 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 4 + 4 + 1 + 2 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1932746013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619115185 | NATSUKO SATO Individual | Specialist/Technologist (Athletic Trainer) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6563 |
| 1255671558 | SALEM STATE UNIVERSITY Organization | Clinic/Center (Student Health) | 352 LAFAYETTE ST COUNSELING AND HEALTH SERVICES SALEM, MA 01970 (978) 542-6410 |
| 1801835392 | JOAN F SWEENEY RNP Individual | Nurse Practitioner (Family) | 352 LAFAYETTE ST HEALTH SERVICES SALEM, MA 01970 (978) 542-6413 |
| 1164851432 | MRS. AILIN RODRIGUES CNP Individual | Nurse Practitioner (Women's Health) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6413 |
| 1477986032 | KALEI ENSMINGER FNP-BC Individual | Nurse Practitioner (Family) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6551 |
| 1558877340 | DEVIN JAMES HARPER Individual | Student in an Organized Health Care Education/Training Program | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6000 |
| 1619483138 | JEFFREY CASTELLANOS Individual | Student in an Organized Health Care Education/Training Program | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-2879 |
| 1538659701 | DR. CHRISTINE MARIE WILLIAMS PHD Individual | Psychologist (Counseling) | 352 LAFAYETTE ST COUNSELING AND HEALTH SERVICES SALEM, MA 01970 (978) 542-6410 |
| 1104305267 | THERESA VALENTI Individual | Student in an Organized Health Care Education/Training Program | 352 LAFAYETTE ST SALEM, MA 01970 (978) 394-1225 |
| 1003399395 | JESSICA KATHLEEN SWEET Individual | Social Worker (Clinical) | 352 LAFAYETTE ST SALEM, MA 01970 (781) 640-7250 |
| 1659856193 | CHERYL SPRINGER PHD Individual | Social Worker (Clinical) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6041 |
| 1568923779 | MS. CAREY L MACDONALD ATC, ED.D Individual | Specialist/Technologist (Athletic Trainer) | 352 LAFAYETTE ST SALEM STATE UNIVERSITY SALEM, MA 01970 (978) 542-7195 |
| 1619491826 | MADELINE ROSE ALLAIRE Individual | Specialist/Technologist (Athletic Trainer) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6000 |
| 1972036465 | ALICE HARTY Individual | Social Worker (Clinical) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 219-4722 |
| 1811507874 | DEEP ROOTS WELLNESS LLC Organization | Social Worker (Clinical) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 219-4722 |
| 1285238337 | JOSEPH ANTHONY GALLO AT, PT Individual | Specialist/Technologist (Athletic Trainer) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 882-5588 |
| 1780172353 | JULIE NGUYEN Individual | Student in an Organized Health Care Education/Training Program | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6000 |
| 1255053294 | HAYAYINE JEANMARIE Individual | Student in an Organized Health Care Education/Training Program | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6000 |
| 1205534955 | ALEXIS ALLI REGISTERED NURSE Individual | Registered Nurse | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-6413 |
| 1043031636 | MELISSA CAMPBELL Individual | Social Worker (Clinical) | 352 LAFAYETTE ST SALEM, MA 01970 (978) 542-4795 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932746013, enumerated in the NPI registry as an "individual" on December 07, 2019
The provider is located at 352 Lafayette St Salem, Ma 01970 and the phone number is (978) 542-6000
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Initial nursing facility visit per day, typically 35 minutes and Initial nursing facility visit per day, typically 45 minutes.
This NPI record was last updated on December 07, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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