MRS. SHENIKA MITCHELL CARTER FNP
NPI 1245800887
Nurse Practitioner - Family in Barnwell, SC

Active since June 27, 2021PECOS EnrolledAccepts Medicare Assignment
77.54/100
CMS Quality Rating
154 WREN ST, BARNWELL, SC 29812(803) 259-3399 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2024, Apr 12, 2023, Oct 16, 2021 and 2 more (5 updates tracked since 2021).

About Mrs. Shenika Mitchell Carter Fnp NPPES

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

MRS. SHENIKA MITCHELL CARTER FNP (NPI 1245800887) is an individual family provider in Barnwell, South Carolina, licensed in South Carolina (25053) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Los Alamos.

NPPES Registry Identity

NPI1245800887
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHENIKA MITCHELL CARTERCredential: FNP
Location Address154 WREN STBarnwell, SC 29812-1527
Mailing Address20 Chester StWilliston, SC 29853-6640 · (803) 259-3399 · Fax (803) 259-4477
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 27, 2021
Last NPPES UpdateOctober 1, 20245 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1245800887 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
Licenses Licensed in SC · 25053 Licensed in NM · 64380
154 WREN ST, Barnwell, SC 29812

Secondary Practice Location 1

Location 13917 West Rd Ste ALos Alamos, NM 87544-2292 · Phone (505) 661-8900

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

Mrs. Shenika Mitchell Carter 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 ID8527457969
PECOS Enrollment IDI20221202002429
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.

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.
730 services265 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
669 services143 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.
111 services86 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
66 services40 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
43 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Allendale County Hospital

Critical Access Hospitals · Fairfax, SC
OwnershipGovernment - Local
CMS Certification Number421300
Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29812 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

77.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.62
Improvement Activities40
Cost66.98

Other Providers at the Same Location NPPES 5

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

Family Medicine
154 WREN ST
BARNWELL, SC 29812
Nurse Practitioner (Family)
154 WREN ST
BARNWELL, SC 29812
Nurse Practitioner (Family)
154 WREN ST
BARNWELL, SC 29812
Clinic/Center (Rural Health)
154 WREN ST
BARNWELL, SC 29812
Nurse Practitioner
154 WREN ST
BARNWELL, SC 29812

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 Shenika Carter's NPI number?

The NPI number for Shenika Carter is 1245800887. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Where is Shenika Carter located?

Shenika Carter practices at 154 Wren St, Barnwell, SC 29812. The listed phone number is (803) 259-3399.

What is Shenika Carter's specialty?

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

Is Shenika Carter enrolled in Medicare?

Yes. Shenika 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 Shenika Carter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Shenika 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 Shenika Carter affiliated with any hospitals?

According to CMS data, Shenika Carter is affiliated with Musc Medical Center, Aiken Regional Medical Center and Allendale County Hospital.

When was this NPI record last updated?

The NPPES record for Shenika Carter was last updated on October 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.