JACK CARTER PA-C
NPI 1083463616
Physician Assistant in Chicago, IL

Q: What is Jack Carter's NPI number?

The NPI number for Jack Carter is 1083463616. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Q: What is Jack Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Carter was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment

251 E HURON ST STE 16-738, CHICAGO, IL 60611(312) 926-5924(312) 926-6134 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jack Carter Pa-c NPPES

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

JACK CARTER PA-C (NPI 1083463616) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085011339) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (2025).

NPPES Registry Identity

NPI1083463616

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACK CARTERCredential: PA-C

Location Address251 E HURON ST STE 16-738Chicago, IL 60611-2908

Mailing Address251 E Huron St Ste 16-738Chicago, IL 60611-2908 · (312) 926-5924 · Fax (312) 926-6134

Phone(312) 926-5924

Fax(312) 926-6134

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2025

Enumeration DateMay 15, 2024

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1083463616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085011339

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

251 E HURON ST STE 16-738, Chicago, IL 60611

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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

Jack Carter Pa-c 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 ID1658870936

PECOS Enrollment IDI20250814002814

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.

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 20

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

AISHA T AMUDA

Hospitalist