DARYEN CAROTHERS NP
NPI 1104796614
Nurse Practitioner - Primary Care in Upland, IN

Q: What is Daryen Carothers's NPI number?

The NPI number for Daryen Carothers is 1104796614. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Q: What is Daryen Carothers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Daryen Carothers was last updated on February 4, 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.

Active since November 10, 2025PECOS EnrolledAccepts Medicare Assignment

1809 S MAIN ST, UPLAND, IN 46989(765) 770-0650(765) 770-0652 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Dec 15, 2025, Nov 10, 2025 (3 updates tracked since 2025).

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About Daryen Carothers Np NPPES

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

DARYEN CAROTHERS NP (NPI 1104796614) is an individual primary care provider in Upland, Indiana, licensed in Indiana (71017403A) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104796614

Entity TypeIndividual

Primary Taxonomy363LP2300X

Provider Legal NameDARYEN CAROTHERSCredential: NP

Location Address1809 S MAIN STUpland, IN 46989-9257

Mailing Address1809 S Main St Ste 100Upland, IN 46989-9258 · (765) 770-0650 · Fax (765) 770-0652

Phone(765) 770-0650

Fax(765) 770-0652

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 10, 2025

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1104796614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in IN · 71017403A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71017403A (IN)

1809 S MAIN ST, Upland, IN 46989

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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

Daryen Carothers Np 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 ID7517452063

PECOS Enrollment IDI20251222001970

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.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46989 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 11

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

JENNIFER ELIZABETH BOSLEY FNP

Nurse Practitioner (Family)