CARRIE TATE PMHNP
NPI 1245719590
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR

Q: What is Carrie Tate's NPI number?

The NPI number for Carrie Tate is 1245719590. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Q: What is Carrie Tate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Carrie Tate enrolled in Medicare?

No. Carrie Tate has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Carrie Tate was last updated on May 27, 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.

Active since August 08, 2018Opted out of Medicare · through Oct 1, 2027

1813 EXECUTIVE SQ, JONESBORO, AR 72401(501) 679-0232(833) 373-0348 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2022, Aug 8, 2018 (2 updates tracked since 2018).

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About Carrie Tate Pmhnp NPPES

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

CARRIE TATE PMHNP (NPI 1245719590) is an individual psychiatric/mental health provider in Jonesboro, Arkansas, licensed in Arkansas (A005838) and active in the NPI registry since August 2018. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1245719590

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARRIE TATECredential: PMHNP

Location Address1813 EXECUTIVE SQJonesboro, AR 72401-6086

Mailing AddressPo Box 414Greenbrier, AR 72058-0414 · (501) 679-0232 · Fax (833) 373-0348

Phone(501) 679-0232

Fax(833) 373-0348

Sole ProprietorNo

Enumeration DateAugust 8, 2018

Last NPPES UpdateMay 27, 20222 updates tracked since enumeration

NPPES CertifiedMay 9, 2022

✔ NPI 1245719590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · A005838

1813 EXECUTIVE SQ, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Carrie Tate Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

HARMONY ROAD LLC

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