Mary Carrillo
NPI 1356722268ActiveIndividual· Nurse Anesthetist, Certified Registered· Florham Park, NJ
Nurse Anesthetist, Certified Registered with Summit Medical Group PA, practicing in Florham Park, New Jersey. Medicare paid $12,883 for services to 181 patients in 2024.
Overview
| NPI | 1356722268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 16, 2015 |
| Last updated in NPPES | Jan 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 26NJ00602400 | NJ |
| Registered Nurse | 163W00000X | 26NR12741800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 181 |
|---|---|
| Services billed | 183 across 37 procedure codes |
| Paid by Medicare | $12,883 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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