ARLENE MARIE CARTER CRNP
NPI 1275123887
Nurse Practitioner - Community Health in Pittsburgh, PA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LC1500X and a focus in Community Health.

Active since January 19, 2021PECOS Enrolled

1789 S BRADDOCK AVE, PITTSBURGH, PA 15218(412) 436-2200 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Arlene Marie Carter Crnp NPPES

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

ARLENE MARIE CARTER CRNP (NPI 1275123887) is an individual community health provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022428) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275123887

Entity TypeIndividualFemale

Primary Taxonomy363LC1500X

Provider Legal NameARLENE MARIE CARTERCredential: CRNP

Location Address1789 S BRADDOCK AVEPittsburgh, PA 15218-1842

Mailing Address149 Nottingham DrPittsburgh, PA 15205-9735 · (304) 905-3238

Phone(412) 436-2200

Sole ProprietorNo

Enumeration DateJanuary 19, 2021

NPPES CertifiedJanuary 19, 2021

✔ NPI 1275123887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

License✔ Licensed in PA · SP022428

1789 S BRADDOCK AVE, Pittsburgh, PA 15218

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arlene Marie Carter Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up nursing facility visit per day, typically 25 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

330 services52 patients

Follow-up nursing facility visit per day, typically 25 minutes 99309

237 services75 patients

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336

This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.

191 services69 patients

Follow-up nursing facility visit per day, typically 15 minutes 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

52 services26 patients

Follow-up nursing facility visit per day, typically 35 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

44 services39 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

44 services41 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

26 services25 patients

Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes 99335

This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.

24 services17 patients

Established patient custodial care facility, group care, or assisted living visit, typically 1 hour 99337

This service involves a healthcare professional visiting an established patient in a group care facility or assisted living for about an hour. The visit may include health checks, medication management, and addressing any health concerns to maintain the patient's well-being.

23 services19 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.

21 services21 patients

Follow-up nursing facility visit per day, typically 15 minutes 99308

20 services18 patients

Advance care planning, first 30 minutes 99497

14 services13 patients

Nursing facility annual assessment, typically 30 minutes 99318

An annual assessment at a nursing facility is a routine check-up that typically lasts about 30 minutes. It's a chance for healthcare professionals to evaluate your overall health and wellness, monitor any ongoing conditions, and adjust care plans as needed.

12 services12 patients

Assessment of and care planning for impaired thought processing, typically 50 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15218 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers17 claims17 services$20.20 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.

DR. MARSHA J FINO MD

Specialist

1789 S BRADDOCK AVE, SUITE 510
PITTSBURGH, PA 15218

Allegheny County (412) 244-8760

DR. JAMES A GLEASON MD

Specialist

1789 S BRADDOCK AVE, SUITE 510
PITTSBURGH, PA 15218

Allegheny County (412) 244-8760

ROBERT WILLIAM LEBOVITS PH.D.

Psychologist

1789 S BRADDOCK AVE, SUITE 375
PITTSBURGH, PA 15218

Allegheny County (412) 371-2210

ADAIRE LAURA HOYT LSW

Social Worker

1789 S BRADDOCK AVE, STE 375
PITTSBURGH, PA 15218

Allegheny County (412) 371-2210

WESTERN PA FOOT AND ANKLE CENTER

Podiatrist (Primary Podiatric Medicine)

1789 S BRADDOCK AVE, SUITE 365
PITTSBURGH, PA 15218

Allegheny County (412) 371-9330

DR. LISA MATISKO DMD, MDS

Dentist (Endodontics)

1789 S BRADDOCK AVE, SUITE 110
PITTSBURGH, PA 15218

Allegheny County (412) 242-4022

DR. THOMAS H BROWN III DMD

Dentist

1789 S BRADDOCK AVE, SUITE 110
PITTSBURGH, PA 15218

Allegheny County (412) 242-4022

UPMC COMMUNITY MEDICINE INC

Internal Medicine

1789 S BRADDOCK AVE, SUITE 510
PITTSBURGH, PA 15218

Allegheny County (412) 244-8760

ARLENE MARIE CARTER CRNP
NPI 1275123887
Nurse Practitioner - Community Health in Pittsburgh, PA

About Arlene Marie Carter Crnp NPPES

NPPES Registry Identity

Specialties & Licenses

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 14

Physician Visit Costs CMS claims · ZIP area

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 20

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