ANDREA CARPENTER NP-C
NPI 1376991364
Nurse Practitioner - Family in Dover, OH

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
659 BOULEVARD ST, DOVER, OH 44622(330) 364-0894 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Carpenter Np-c NPPES

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

ANDREA CARPENTER NP-C (NPI 1376991364) is an individual family provider in Dover, Ohio, licensed in Ohio (19156) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376991364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA CARPENTERCredential: NP-C
Location Address659 BOULEVARD STDover, OH 44622-2026
Mailing Address1551 Tomahawk LnCoshocton, OH 43812-3118 · (740) 502-0022
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2016
✔ NPI 1376991364 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 OH · 19156
659 BOULEVARD ST, Dover, OH 44622

Other Identifiers 1

Other19156OH · Coa

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Carpenter Np-c 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 ID3173817996
PECOS Enrollment IDI20160802001597
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 Reassignments

4

Medicare enrollment records show Andrea Carpenter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
659 BOULEVARD
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 99 clinicians in this Medicare group
Family Medicine
659 BOULEVARD ST
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group
Emergency Medicine
1460 ORANGE ST
Coshocton, OH 43812
  • Reassigned Medicare billing, Ohio enrollment
  • 118 clinicians in this Medicare group
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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.
118 services111 patients
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.
37 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital

Acute Care Hospitals · Dover, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360010
Location659 BoulevardDover, OH 44622 · Tuscarawas County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44622 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Clinic/Center (Emergency Care)
659 BOULEVARD ST
DOVER, OH 44622
Pharmacy (Community/Retail Pharmacy)
659 BOULEVARD ST
DOVER, OH 44622
Nurse Anesthetist, Certified Registered
659 BOULEVARD ST
DOVER, OH 44622
Emergency Medicine
659 BOULEVARD ST
DOVER, OH 44622
Physician Assistant (Medical)
659 BOULEVARD ST
DOVER, OH 44622
Psychiatry & Neurology (Psychiatry)
659 BOULEVARD ST
DOVER, OH 44622
Community Health Worker
659 BOULEVARD ST
DOVER, OH 44622
Dietitian, Registered
659 BOULEVARD ST
DOVER, OH 44622

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 Andrea Carpenter's NPI number?

The NPI number for Andrea Carpenter is 1376991364. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Andrea Carpenter located?

Andrea Carpenter practices at 659 Boulevard St, Dover, OH 44622. The listed phone number is (330) 364-0894.

What is Andrea Carpenter's specialty?

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

Is Andrea Carpenter enrolled in Medicare?

Yes. Andrea Carpenter 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.

Which organizations bill Medicare for Andrea Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Carpenter reassigns Medicare benefits to 4 organizations: The Union Hospital Association (Dover, OH), Union Physician Services, LLC (Dover, OH), Hles Of Ohio Inc (Coshocton, OH) and The Cleveland Clinic Foundation (Cleveland, OH). Each 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 Andrea Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Carpenter accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrea Carpenter 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 Andrea Carpenter affiliated with any hospitals?

According to CMS data, Andrea Carpenter is affiliated with Union Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Andrea Carpenter was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.