ROBERTA J CARR PA-C
NPI 1306856547
Physician Assistant - Medical in Lapwai, ID

Q: What is Roberta Carr's NPI number?

The NPI number for Roberta Carr is 1306856547. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Roberta Carr's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Carr was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since August 09, 2006PECOS Enrolled

111 BEVER GRADE, LAPWAI, ID 83540(208) 843-2271(208) 843-2658 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roberta J Carr Pa-c NPPES

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

ROBERTA J CARR PA-C (NPI 1306856547) is an individual medical provider in Lapwai, Idaho, licensed in Idaho (PA287) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1306856547

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameROBERTA J CARRCredential: PA-C

Location Address111 BEVER GRADELapwai, ID 83540-0367

Mailing AddressPo Box 367Lapwai, ID 83540-0367 · (208) 843-2271 · Fax (208) 843-2658

Phone(208) 843-2271

Fax(208) 843-2658

Sole ProprietorNo

Enumeration DateAugust 9, 2006

Last NPPES UpdateSeptember 12, 2025

NPPES CertifiedSeptember 12, 2025

✔ NPI 1306856547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA287

111 BEVER GRADE, Lapwai, ID 83540

Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 W A St Ste 101Moscow, ID 83843-6000 · Phone (208) 882-0540 · Fax (208) 883-1853

Other Identifiers 1

Medicaid805010100ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta J Carr Pa-c 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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

161 services154 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

77 services73 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

61 services58 patients

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.

SUSIE A ELLENWOOD LPN

Licensed Practical Nurse