JUDA CARTER CRNP NPI 1164526711

Nurse Practitioner (Family) in Jacksonville, AL

NPI 1164526711 Individual Female Years of Experience 19 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JUDA CARTER

Juda Carter is a provider established in Jacksonville, Alabama and her medical specialization is nurse practitioner (family) with more than 19 years of experience. She graduated from University Of Alabama School Of Medicine in 2003. The NPI number of Juda Carter is 1164526711 and was assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 1-081953 (AL). The provider is registered as an individual and her NPI record was last updated 15 years ago.

A nurse practitioner (NP) like Juda Carter Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Juda Carter is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Juda Carter is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Gadsden Regional Medical Center and Marshall Medical Centers.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1164526711

Provider Name JUDA CARTER CRNP
Provider Location Address1505 PELHAM RD S STE 2 JACKSONVILLE, AL 36265
Provider Mailing Address1505 PELHAM RD S STE 2 JACKSONVILLE, AL 36265
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-12-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1-081953
License StateAL

Business Address

JUDA CARTER CRNP
1505 PELHAM RD S
STE 2
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-7300
Fax: (256) 435-7305

Get Directions


Mailing Address

JUDA CARTER CRNP
1505 PELHAM RD S
STE 2
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-7300
Fax: (256) 435-7305



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9931094604
PECOS Enrollment IDI20040220000398
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1564Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 254Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 203Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 203X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 83Urinalysis, manual test (HCPCS:81002)
  • 80Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 65Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 21Hemoglobin A1C level (HCPCS:83036)
  • 17Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 95% 100
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Juda Carter is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GADSDEN REGIONAL MEDICAL CENTER1007 GOODYEAR AVENUE
GADSDEN, AL 35903
(256) 494-4000Acute Care Hospitals10040
MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTH
BOAZ, AL 35957
(256) 593-8310Acute Care Hospitals10005

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q04678MEDICARE UPIN (02)AL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871894162 SALISIA SHUNTA VALENTINE NP
Individual
Nurse Practitioner (Family)1505 PELHAM RD S SUITE 2
JACKSONVILLE, AL 36265
(256) 435-7300
1174074918 WHITNEY GRIMES
Individual
Nurse Practitioner (Family)1505 PELHAM RD S SUITE 2
JACKSONVILLE, AL 36265
(256) 435-7300
1326079922DOCTORS MED CARE OF JACKSONVILLE, P.C.
Organization
Family Medicine1505 PELHAM RD S STE 2
JACKSONVILLE, AL 36265
(256) 435-7300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.