RODNEY SHAWN CARTER ARNP, FNP-C, MSN
NPI 1225589179
Nurse Practitioner - Family in Lakeland, FL

Active since October 16, 2016PECOS EnrolledAccepts Medicare Assignment
84.6/100
CMS Quality Rating
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801(863) 688-2334 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2016, Oct 24, 2016, Oct 16, 2016 (3 updates tracked since 2016).

About Rodney Shawn Carter Arnp, Fnp-c, Msn NPPES

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

RODNEY SHAWN CARTER ARNP, FNP-C, MSN (NPI 1225589179) is an individual family provider in Lakeland, Florida, licensed in Florida (3357442) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225589179
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRODNEY SHAWN CARTERCredential: ARNP, FNP-C, MSN
Location Address2125 CRYSTAL GROVE DRLakeland, FL 33801-6875
Mailing Address468 Archaic DrWinter Haven, FL 33880-1676 · (863) 698-0816
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 16, 2016
Last NPPES UpdateNovember 2, 20163 updates tracked since enumeration
NPI 1225589179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 3357442
2125 CRYSTAL GROVE DR, Lakeland, FL 33801

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

Rodney Shawn Carter Arnp, Fnp-c, Msn 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 ID8921383787
PECOS Enrollment IDI20170320000568
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 13

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 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.
83 services55 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
67 services46 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
51 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services41 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.
46 services46 patients
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.
44 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

84.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost57.78

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%63 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%105 patients1/55-star benchmark: 100%
Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%23 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
60%73 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%79 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier17 claims17 services$859.78 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier18 claims36 services$313.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Nurse Practitioner (Family)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Vascular & Interventional Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801

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 Rodney Carter's NPI number?

The NPI number for Rodney Carter is 1225589179. It was assigned to this individual provider in the NPPES registry on October 16, 2016.

Where is Rodney Carter located?

Rodney Carter practices at 2125 Crystal Grove Dr, Lakeland, FL 33801. The listed phone number is (863) 688-2334.

What is Rodney Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rodney Carter enrolled in Medicare?

Yes. Rodney 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 Rodney Carter accept?

Health plans from AvMed and Wellpoint list Rodney 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 Rodney Carter affiliated with any hospitals?

According to CMS data, Rodney Carter is affiliated with Winter Haven Hospital and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rodney Carter was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.