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MS. WANETA JOHANNA CARTER SNP-C
NPI 1144966086
Nurse Practitioner - Adult Health in Sun City, AZ

Active since May 12, 2022PECOS Enrolled
68.33/100
CMS Quality Rating
12630 N 103RD AVE STE 142, SUN CITY, AZ 85351(480) 275-2022 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Waneta Johanna Carter Snp-c NPPES

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

MS. WANETA JOHANNA CARTER SNP-C (NPI 1144966086) is an individual adult health provider in Sun City, Arizona, licensed in Arizona (274297) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144966086
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. WANETA JOHANNA CARTERCredential: SNP-C
Location Address12630 N 103RD AVE STE 142Sun City, AZ 85351-3463
Mailing Address2632 S 83rd Ave # 100-259Phoenix, AZ 85043-7206 · (623) 810-4270
Phone(480) 275-2022
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1144966086 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
License✔ Licensed in AZ · 274297
12630 N 103RD AVE STE 142, Sun City, AZ 85351
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Waneta Johanna Carter Snp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709267883
PECOS Enrollment IDI20220720003260
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 Waneta Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Az At Home Inc
Same address
Family
12630 N 103RD AVE STE 142
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1548643836 (480) 275-2022

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

Areas of Expertise CMS Part B claims 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
450 services96 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
191 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services48 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
44 services44 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
38 services38 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
25 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

68.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.66
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

CAROLINE W PILKINTON FNP-C
Nurse Practitioner (Family)
12630 N 103RD AVE STE 142
SUN CITY, AZ 85351
Maricopa County (602) 527-6749
THOMAS ALAN GREEN FNP-BC
Nurse Practitioner (Family)
12630 N 103RD AVE STE 142
SUN CITY, AZ 85351
Maricopa County (480) 275-2022
AZ AT HOME INC
Nurse Practitioner (Family)
12630 N 103RD AVE STE 142
SUN CITY, AZ 85351
Maricopa County (480) 275-2022

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 Waneta Carter's NPI number?

The NPI number for Waneta Carter is 1144966086. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Waneta Carter located?

Waneta Carter practices at 12630 N 103rd Ave Ste 142, Sun City, AZ 85351. The listed phone number is (480) 275-2022.

What is Waneta Carter's specialty?

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

Is Waneta Carter enrolled in Medicare?

Yes. Waneta Carter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Waneta Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waneta Carter reassigns Medicare benefits to Az At Home Inc (Sun City, AZ). 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 Waneta Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Waneta Carter accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Waneta 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 Waneta Carter was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.