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SHERRY MAE CARTER
NPI 1336751734
Nurse Practitioner - Psychiatric/Mental Health in Winchester, VA

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
170 PROSPERITY DRIVE, WINCHESTER, VA 22602(406) 678-8385(406) 675-6635 Get Directions Write a Review

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

Record update history: Oct 1, 2020, Aug 18, 2020 (2 updates tracked since 2020).

About Sherry Mae Carter NPPES

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

SHERRY MAE CARTER (NPI 1336751734) is an individual psychiatric/mental health provider in Winchester, Virginia, licensed in Virginia (2020043725) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336751734
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHERRY MAE CARTER
Location Address170 PROSPERITY DRIVEWinchester, VA 22602-2699
Mailing Address42 Monarch CtMartinsburg, WV 25403 · (681) 389-7555
Phone(406) 678-8385
Fax(406) 675-6635
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2020
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1336751734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in VA · 2020043725✔ Licensed in VA · 0024185558
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001195297 (VA)
170 PROSPERITY DRIVE, Winchester, VA 22602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sherry Mae Carter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981014768
PECOS Enrollment IDI20201105002539, I20230213000547
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services47 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
45 services28 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22602 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
170 PROSPERITY DRIVE, STE P
WINCHESTER, VA 22602
Frederick County (540) 409-4040

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 Sherry Carter's NPI number?

The NPI number for Sherry Carter is 1336751734. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Sherry Carter located?

Sherry Carter practices at 170 Prosperity Drive, Winchester, VA 22602. The listed phone number is (406) 678-8385.

What is Sherry Carter's specialty?

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

Is Sherry Carter enrolled in Medicare?

Yes. Sherry Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sherry Carter accept?

Health plans from Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Sherry 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.

Is Sherry Carter affiliated with any hospitals?

According to CMS data, Sherry Carter is affiliated with Winchester Medical Center.

When was this NPI record last updated?

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