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MISTI KATHERINE CARLTON PMHNP
NPI 1275318933
Nurse Practitioner - Psychiatric/Mental Health in Delmar, NY

Active since August 30, 2023Opted out of Medicare · through Mar 6, 2027
29 FERNBANK AVE, DELMAR, NY 12054(347) 601-6354 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Misti Katherine Carlton Pmhnp NPPES

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

MISTI KATHERINE CARLTON PMHNP (NPI 1275318933) is an individual psychiatric/mental health provider in Delmar, New York, licensed in New York (F404979) and active in the NPI registry since August 2023. She has opted out of Medicare through March 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275318933
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISTI KATHERINE CARLTONCredential: PMHNP
Location Address29 FERNBANK AVEDelmar, NY 12054-4034
Mailing Address29 Fernbank AveDelmar, NY 12054-4034 · (347) 601-6354
Phone(347) 601-6354
Sole ProprietorNo
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1275318933 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 NY · F404979
29 FERNBANK AVE, Delmar, NY 12054
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Misti Katherine Carlton 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 March 6, 2025 through March 6, 2027.

Opt-Out Effective DateMarch 6, 2025
Opt-Out In Effect ThroughMarch 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Misti Carlton's NPI number?

The NPI number for Misti Carlton is 1275318933. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Misti Carlton located?

Misti Carlton practices at 29 Fernbank Ave, Delmar, NY 12054. The listed phone number is (347) 601-6354.

What is Misti Carlton's specialty?

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

Is Misti Carlton enrolled in Medicare?

No. Misti Carlton has opted out of Medicare through March 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Misti Carlton was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.