MRS. EMILY CARTER NP
NPI 1366994261
Nurse Practitioner - Family in Nashville, TN

Active since October 26, 2016PECOS Enrolled
98.3/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: March 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2024, Oct 11, 2023, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mrs. Emily Carter Np NPPES

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

MRS. EMILY CARTER NP (NPI 1366994261) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (21829) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366994261
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EMILY CARTERCredential: NP
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateMarch 10, 20245 updates tracked since enumeration
NPPES CertifiedMarch 10, 2024
NPI 1366994261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 21829
Also ListedNurse PractitionerTaxonomy 363L00000X · License 21829 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Locations 2

Location 1713 President Pl, Suite ASmyrna, TN 37167-5652 · Phone (615) 220-0056
Location 25045 Old Hickory Blvd, Suite 201Hermitage, TN 37076 · Phone (615) 583-5151

Accepted 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)

Mrs. Emily 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.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services43 patients
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.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims1,260 services$6.44 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers19 claims1,500 services$0.66 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers17 claims17 services$22.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Medical Genetics (Clinical Genetics (M.D.))
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Rheumatology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Ophthalmology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Obstetrics & Gynecology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Anesthetist, Certified Registered
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 Emily Carter's NPI number?

The NPI number for Emily Carter is 1366994261. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Emily Carter located?

Emily Carter practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Emily Carter's specialty?

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

Is Emily Carter enrolled in Medicare?

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

What insurance does Emily Carter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Emily 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 Emily Carter was last updated on March 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.