CYNTHIA DANIEL CARTER APRN
NPI 1023686672
Nurse Practitioner - Adult Health in Melbourne, FL

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1130 HICKORY ST, MELBOURNE, FL 32901(321) 752-0944 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Dec 14, 2021, Jul 20, 2021 and 1 more (4 updates tracked since 2021).

About Cynthia Daniel Carter Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA DANIEL CARTER APRN (NPI 1023686672) is an individual adult health provider in Melbourne, Florida, licensed in Florida (APRN11013380) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023686672
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCYNTHIA DANIEL CARTERCredential: APRN
Location Address1130 HICKORY STMelbourne, FL 32901-1973
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 752-0944
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 10, 2021
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1023686672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN11013380
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License APRN11013380 (FL)
1130 HICKORY ST, Melbourne, FL 32901

Other Identifiers 2

Medicaid110924400FL
OtherNZ737FL · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cynthia Daniel Carter Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850791328
PECOS Enrollment IDI20210621002699
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1130 HICKORY ST, STE. B
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Urology
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST, SUITE B
MELBOURNE, FL 32901
Obstetrics & Gynecology (Gynecologic Oncology)
1130 HICKORY ST
MELBOURNE, FL 32901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Carter's NPI number?

The NPI number for Cynthia Carter is 1023686672. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Cynthia Carter located?

Cynthia Carter practices at 1130 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 752-0944.

What is Cynthia Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Cynthia Carter enrolled in Medicare?

Yes. Cynthia Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Cynthia Carter affiliated with any hospitals?

According to CMS data, Cynthia Carter is affiliated with Holmes Regional Medical Center, Parrish Medical Center, Cape Canaveral Hospital, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Carter was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.