Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Carroll, FNP

Individual provider Family Nurse Practitioner · NPI 1639535834

Mary Carroll, FNP is a Nurse Practitioner in Orange, California. Qualified in 2011, 15 years ago. Practices with Uc Regents, a 306-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (800) 465-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Duarte Rd, Duarte, CA 91010-3012 — (626) 256-4673

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95003461 (CA)

Record details

NPI number1639535834
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 5, 2016
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Uc Regents — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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