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

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: August 16, 2026.

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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 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.
242 services101 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 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.
183 services82 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
102 services92 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.
69 services41 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.
42 services26 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
41 services41 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.

JWH INTENSIVIST, P.C.
Internal Medicine (Critical Care Medicine)
1789 S BRADDOCK AVE, SUITE 290
PITTSBURGH, PA 15218
Allegheny County (412) 371-9133
DR. MARSHA J FINO MD
Specialist
1789 S BRADDOCK AVE, SUITE 510
PITTSBURGH, PA 15218
Allegheny County (412) 244-8760
UPMC COMMUNITY MEDICINE INC
Internal Medicine
1789 S BRADDOCK AVE, SUITE 510
PITTSBURGH, PA 15218
Allegheny County (412) 244-8760
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. MARGARET S MORTON MD
Family Medicine
1789 S BRADDOCK AVE, STE 380
PITTSBURGH, PA 15218
Allegheny County (412) 727-6478
ADAIRE LAURA HOYT LSW
Social Worker
1789 S BRADDOCK AVE, STE 375
PITTSBURGH, PA 15218
Allegheny County (412) 371-2210
DR. THOMAS H BROWN III DMD
Dentist
1789 S BRADDOCK AVE, SUITE 110
PITTSBURGH, PA 15218
Allegheny County (412) 242-4022

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 Arlene Carter's NPI number?

The NPI number for Arlene Carter is 1275123887. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Arlene Carter located?

Arlene Carter practices at 1789 S Braddock Ave, Pittsburgh, PA 15218. The listed phone number is (412) 436-2200.

What is Arlene Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Arlene Carter enrolled in Medicare?

Yes. Arlene Carter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Arlene Carter was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.