DR. KEITH JEROME CARTER PMHNP-BC
NPI 1043920929
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since December 01, 2022PECOS EnrolledAccepts Medicare Assignment
3209 N LAKEWOOD AVE, CHICAGO, IL 60657(872) 274-4344(866) 671-9991 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Dec 11, 2025, Nov 13, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Keith Jerome Carter Pmhnp-bc NPPES

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

DR. KEITH JEROME CARTER PMHNP-BC (NPI 1043920929) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (277005129) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043920929
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. KEITH JEROME CARTERCredential: PMHNP-BC
Location Address3209 N LAKEWOOD AVEChicago, IL 60657-3215
Mailing Address1100 Jorie Blvd Ste 300Oak Brook, IL 60523-2219 · (630) 974-6602 · Fax (630) 487-2411
Fax(866) 671-9991
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 1, 2022
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1043920929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 277005129
3209 N LAKEWOOD AVE, Chicago, IL 60657

Accepted Insurance

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

Dr. Keith Jerome Carter Pmhnp-bc 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 ID7719352814
PECOS Enrollment IDI20230403001197
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Durable Medical Equipment & Medical Supplies
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Psychologist (Clinical)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Nurse Practitioner (Psychiatric/Mental Health)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Counselor (Mental Health)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Registered Nurse
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Counselor (Professional)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657
Counselor (Mental Health)
3209 N LAKEWOOD AVE
CHICAGO, IL 60657

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 Keith Carter's NPI number?

The NPI number for Keith Carter is 1043920929. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Keith Carter located?

Keith Carter practices at 3209 N Lakewood Ave, Chicago, IL 60657. The listed phone number is (872) 274-4344.

What is Keith Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keith Carter enrolled in Medicare?

Yes. Keith 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.

What insurance does Keith Carter accept?

Health plans from Providence Health Plan list Keith Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Carter was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.