MARYANN CARTER APRN
NPI 1245875434
Registered Nurse - Psychiatric/Mental Health in New London, CT

Active since November 12, 2019PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6400 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2022, Nov 8, 2021, Nov 12, 2019 (3 updates tracked since 2019).

About Maryann Carter Aprn NPPES

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

MARYANN CARTER APRN (NPI 1245875434) is an individual psychiatric/mental health provider in New London, Connecticut, licensed in Connecticut (115323) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245875434
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMARYANN CARTERCredential: APRN
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address139 Newent RdLisbon, CT 06351-2927 · (860) 376-1118
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 12, 2019
Last NPPES UpdateSeptember 9, 20223 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1245875434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CT · 115323
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN02940 (RI)
21 MONTAUK AVE, New London, CT 06320

Other Names 1

Professional Name (2)Maryann Carter

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryann Carter Aprn 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 ID8921408253
PECOS Enrollment IDI20210608002864, I20221027000670
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maryann Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
30 HOWARD AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 48 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1126 HARTFORD AVE
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320

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 Maryann Carter's NPI number?

The NPI number for Maryann Carter is 1245875434. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Maryann Carter located?

Maryann Carter practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 439-6400.

What is Maryann Carter's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Maryann Carter enrolled in Medicare?

Yes. Maryann 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.

Which organizations bill Medicare for Maryann Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryann Carter reassigns Medicare benefits to 2 organizations: Comprehensive Community Action, Inc (Cranston, RI) and Tri-County Community Action Agency (Johnston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryann Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryann Carter accept?

Health plans from Harvard Pilgrim Health Care list Maryann 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.

When was this NPI record last updated?

The NPPES record for Maryann Carter was last updated on September 9, 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.