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CARLY NEWTON FNP-C
NPI 1124456736
Nurse Practitioner - Adult Health in Chesterfield, MO

Active since October 16, 2013PECOS Enrolled
14805 NORTH OUTER 40 RD STE 320, CHESTERFIELD, MO 63017(636) 536-0183(636) 536-0526 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Newton Fnp-c NPPES

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

CARLY NEWTON FNP-C (NPI 1124456736) is an individual adult health provider in Chesterfield, Missouri, licensed in Illinois (209019723) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124456736
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCARLY NEWTONCredential: FNP-C
Location Address14805 NORTH OUTER 40 RD STE 320Chesterfield, MO 63017-6060
Mailing Address3785 Waterloo RdWaterloo, IL 62298-4409 · (618) 409-9900
Phone(636) 536-0183
Fax(636) 536-0526
Sole ProprietorNo
Enumeration DateOctober 16, 2013
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1124456736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in IL · 209019723✔ Licensed in MO · 2014001970
14805 NORTH OUTER 40 RD STE 320, Chesterfield, MO 63017
Open in Google Maps ↗

Other Names 1

Former Name (1)Carly Gagnon Anp

Other Identifiers 5

Other2014001970MO · Adult Nurse Practitioner
Other041404932IL · Illinois State License For Rn
Other2010022356MO · Missouri State License For Rn
Other209019723IL · Adult/family Nurse Practitioner
Other2019010533MO · Family Nurse Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Newton Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Newton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialized Wound Management LLC
Same address
Adult Health
14805 N OUTER 40 RD, SUITE 320
Chesterfield, MO 63017
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 16 clinicians in this Medicare group
NPI 1962430157 (888) 811-4677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Carly Newton's NPI number?

The NPI number for Carly Newton is 1124456736. It was assigned to this individual provider in the NPPES registry on October 16, 2013. The provider is also known as Carly Gagnon Anp.

Where is Carly Newton located?

Carly Newton practices at 14805 North Outer 40 Rd Ste 320, Chesterfield, MO 63017. The listed phone number is (636) 536-0183.

What is Carly Newton's specialty?

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

Is Carly Newton enrolled in Medicare?

Yes. Carly Newton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Newton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Newton reassigns Medicare benefits to Specialized Wound Management LLC (Chesterfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Newton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Newton was last updated on September 18, 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.