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KELLY MARIE CARTER NP
NPI 1306522156
Nurse Practitioner - Family in Loma Linda, CA

Active since June 26, 2023PECOS Enrolled
25835 BARTON RD, LOMA LINDA, CA 92354(909) 558-3611 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Marie Carter Np NPPES

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

KELLY MARIE CARTER NP (NPI 1306522156) is an individual family provider in Loma Linda, California, licensed in California (NP95023571) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306522156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE CARTERCredential: NP
Location Address25835 BARTON RDLoma Linda, CA 92354-3897
Mailing Address4831 Somerset DrRiverside, CA 92507-5706 · (352) 602-8491
Phone(909) 558-3611
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1306522156 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
License✔ Licensed in CA · NP95023571
25835 BARTON RD, Loma Linda, CA 92354
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Other Names 1

Former Name (1)Kelly Marie Palmer

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Carter Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
25845 BARTON ROAD, STE. F
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1275583007 (909) 558-2828

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 2

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

MRS. SARAH ELIZABETH VAN TASSELL FNP
Nurse Practitioner (Family)
25835 BARTON RD, SUITE 101
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3611
IRIDIAN PEREZ
Nurse Practitioner (Family)
25835 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3611

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 Kelly Carter's NPI number?

The NPI number for Kelly Carter is 1306522156. It was assigned to this individual provider in the NPPES registry on June 26, 2023. The provider is also known as Kelly Marie Palmer.

Where is Kelly Carter located?

Kelly Carter practices at 25835 Barton Rd, Loma Linda, CA 92354. The listed phone number is (909) 558-3611.

What is Kelly Carter's specialty?

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

Is Kelly Carter enrolled in Medicare?

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

Which organization bills Medicare for Kelly Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Carter reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Kelly Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Carter was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.