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MRS. SHAWNDA CARTER APRN, PMHNP-BC
NPI 1316512817
Nurse Practitioner - Psychiatric/Mental Health in Mt Sterling, KY

Active since May 26, 2021PECOS Enrolled
601 DOE RUN DR STE 5, MT STERLING, KY 40353(859) 432-3055(859) 432-3044 Get Directions Write a Review

NPPES record last updated: July 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2022, Sep 10, 2021, Jul 22, 2021 and 2 more (5 updates tracked since 2021).

About Mrs. Shawnda Carter Aprn, Pmhnp-bc NPPES

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

MRS. SHAWNDA CARTER APRN, PMHNP-BC (NPI 1316512817) is an individual psychiatric/mental health provider in Mt Sterling, Kentucky, licensed in Kentucky (3016158) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316512817
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHAWNDA CARTERCredential: APRN, PMHNP-BC
Location Address601 DOE RUN DR STE 5Mt Sterling, KY 40353-9097
Mailing Address601 Doe Run Dr Ste 5Mt Sterling, KY 40353-9097 · (859) 432-3055 · Fax (859) 432-3044
Phone(859) 432-3055
Fax(859) 432-3044
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 26, 2021
Last NPPES UpdateJuly 17, 20225 updates tracked since enumeration
NPPES CertifiedJuly 17, 2022
✔ NPI 1316512817 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 KY · 3016158
601 DOE RUN DR STE 5, Mt Sterling, KY 40353
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shawnda Carter Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799157269
PECOS Enrollment IDI20230209000924
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 Shawnda Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluegrass Behavioral Health & Consulting Services
Same address
Psychiatric/Mental Health
601 DOE RUN DR STE 5
Mt Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1578234449 (859) 432-3055

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 40353 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 6

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

JESSICA MCDANIEL APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
601 DOE RUN DR STE 5
MT STERLING, KY 40353
Montgomery County (859) 432-3055
AMY DIANE KREJSA RN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
601 DOE RUN DR STE 5
MT STERLING, KY 40353
Montgomery County (859) 432-3055
ANGEL MCCORMICK APRN
Nurse Practitioner (Psychiatric/Mental Health)
601 DOE RUN DR STE 5
MOUNT STERLING, KY 40353
Montgomery County (859) 361-6420
JO A ELBERT APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
601 DOE RUN DR STE 5
MT STERLING, KY 40353
Montgomery County (859) 432-3055
SHAYNA CAMPBELL
Counselor (Professional)
601 DOE RUN DR STE 5
MOUNT STERLING, KY 40353
Montgomery County (859) 432-3055
BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
601 DOE RUN DR STE 5
MT STERLING, KY 40353
Montgomery County (859) 432-3055

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 Shawnda Carter's NPI number?

The NPI number for Shawnda Carter is 1316512817. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Shawnda Carter located?

Shawnda Carter practices at 601 Doe Run Dr Ste 5, Mt Sterling, KY 40353. The listed phone number is (859) 432-3055.

What is Shawnda Carter's specialty?

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

Is Shawnda Carter enrolled in Medicare?

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

Which organization bills Medicare for Shawnda Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawnda Carter reassigns Medicare benefits to Bluegrass Behavioral Health & Consulting Services (Mt Sterling, KY). 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 Shawnda Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawnda Carter accept?

Health plans from Anthem Blue Cross and Blue Shield list Shawnda Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawnda Carter was last updated on July 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.