MICHELLE L. CARTER APN, NPA, RN
NPI 1114015302
Nurse Practitioner in Kokomo, IN

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
322 N MAIN ST, KOKOMO, IN 46901(765) 453-8555(765) 453-8114 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2020, Jan 9, 2019 (2 updates tracked since 2019).

About Michelle L. Carter Apn, Npa, Rn NPPES

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

MICHELLE L. CARTER APN, NPA, RN (NPI 1114015302) is an individual nurse practitioner in Kokomo, Indiana, licensed in Indiana (71002227) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2003).

NPPES Registry Identity

NPI1114015302
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE L. CARTERCredential: APN, NPA, RN
Location Address322 N MAIN STKokomo, IN 46901-4622
Mailing Address6626 E 75th Street, Suite 500Indianapolis, IN 46250-2890 · (317) 621-7561 · Fax (317) 355-6096
Fax(765) 453-8114
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 11, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
NPI 1114015302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71002227
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 71002227B APN CSR (IN)
322 N MAIN ST, Kokomo, IN 46901

Other Identifiers 3

Other28116710AIN · Rn
Other71002227AIN · Nurse Practitioner Author
Other71002227BIN · Apn Csr

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

Michelle L. Carter Apn, Npa, Rn 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 ID3274429501
PECOS Enrollment IDI20070615000317
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

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 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.
279 services70 patients

Hospital Affiliations CMS Care Compare

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.3
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Counselor
322 N MAIN ST
KOKOMO, IN 46901
Counselor (Mental Health)
322 N MAIN ST
KOKOMO, IN 46901
Social Worker (Clinical)
322 N MAIN ST
KOKOMO, IN 46901
Counselor
322 N MAIN ST
KOKOMO, IN 46901
Social Worker
322 N MAIN ST
KOKOMO, IN 46901
Psychiatry & Neurology (Psychiatry)
322 N MAIN ST
KOKOMO, IN 46901
Social Worker (Clinical)
322 N MAIN ST
KOKOMO, IN 46901
Counselor (Mental Health)
322 N MAIN ST
KOKOMO, IN 46901

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 Michelle Carter's NPI number?

The NPI number for Michelle Carter is 1114015302. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Michelle Carter located?

Michelle Carter practices at 322 N Main St, Kokomo, IN 46901. The listed phone number is (765) 453-8555.

What is Michelle Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Carter enrolled in Medicare?

Yes. Michelle 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 Michelle Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Michelle 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.

Is Michelle Carter affiliated with any hospitals?

According to CMS data, Michelle Carter is affiliated with Community Howard Regional Health Inc..

When was this NPI record last updated?

The NPPES record for Michelle Carter was last updated on November 27, 2023. 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.