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JUSTIN CANTER FNP
NPI 1194274100
Nurse Practitioner in Albemarle, NC

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
923 N 2ND ST, STE 204, ALBEMARLE, NC 28001(980) 323-4475 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Aug 31, 2020, Jul 16, 2020 and 38 more (41 updates tracked since 2017).

About Justin Canter Fnp NPPES

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

JUSTIN CANTER FNP (NPI 1194274100) is an individual nurse practitioner in Albemarle, North Carolina, licensed in North Carolina (5008987) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194274100
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN CANTERCredential: FNP
Location Address923 N 2ND ST, STE 204Albemarle, NC 28001-3317
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 323-4475
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 3, 2016
Last NPPES UpdateSeptember 25, 202041 updates tracked since enumeration
✔ NPI 1194274100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5008987
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.
923 N 2ND ST, Albemarle, NC 28001
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1441 McAlister Rd, Ste 2200Lincolnton, NC 28092-4126 · Phone (800) 230-1721
Location 21010 Edgehill Rd NCharlotte, NC 28207-1885 · Phone (704) 446-1900
Location 3315 Medical Park Dr, Ste 202Concord, NC 28025-1902 · Phone (704) 403-1911
Location 4101 E W T Harris Blvd, Ste 5202Charlotte, NC 28262-3485 · Phone (704) 403-1911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Justin Canter Fnp 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 ID2961783964
PECOS Enrollment IDI20170106000006, I20210506001806, I20210518000127
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28001 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine (Gastroenterology)
923 N 2ND ST, STE 204
ALBEMARLE, NC 28001
Stanly County (980) 323-5600
KATHERINE DRY SELLS FNP
Nurse Practitioner (Family)
923 N 2ND ST, STE 204
ALBEMARLE, NC 28001
Stanly County (980) 323-5600
STANLY MEDICAL SERVICES
Internal Medicine (Gastroenterology)
923 N 2ND ST, SUITE 204
ALBEMARLE, NC 28001
Stanly County (704) 986-6662
DR. DAVID WILLIAM SCHMIDT M.D.
Psychiatry & Neurology (Neurology)
923 N 2ND ST, STE 102
ALBEMARLE, NC 28001
Stanly County (704) 982-0122
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Psychiatry & Neurology (Neurology)
923 N 2ND ST, STE 204
ALBEMARLE, NC 28001
Stanly County (980) 323-4475
TERICA NATASHA YOUNG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
923 N 2ND ST, STE 105
ALBEMARLE, NC 28001
Stanly County (704) 403-1877
PATTI JOYNER SHOE FNP
Nurse Practitioner
923 N 2ND ST, SUITE 205
ALBEMARLE, NC 28001
Stanly County (704) 982-0648
JOHN GODINO MD
Internal Medicine
923 N 2ND ST, STE 204
ALBEMARLE, NC 28001
Stanly County (980) 323-5600

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 Justin Canter's NPI number?

The NPI number for Justin Canter is 1194274100. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Justin Canter located?

Justin Canter practices at 923 N 2nd St Ste 204, Albemarle, NC 28001. The listed phone number is (980) 323-4475.

What is Justin Canter's specialty?

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

Is Justin Canter enrolled in Medicare?

Yes. Justin Canter 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 Justin Canter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 4 other insurers list Justin Canter 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 Justin Canter affiliated with any hospitals?

According to CMS data, Justin Canter is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Justin Canter was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.