CAROLYN HERBERT
NPI 1386315778
Nurse Practitioner - Family in Kennett, MO
About Carolyn Herbert NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN HERBERT (NPI 1386315778) is an individual family provider in Kennett, Missouri, licensed in Missouri (2021038571) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Carolyn Herbert 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carolyn Herbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennett, MO 63857
- Reassigned Medicare billing, Missouri enrollment
- 116 clinicians in this Medicare group
White House, TN 37188
- Reassigned Medicare billing, Tennessee enrollment
- 341 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carolyn Herbert's NPI number?
The NPI number for Carolyn Herbert is 1386315778. It was assigned to this individual provider in the NPPES registry on September 24, 2021.
Where is Carolyn Herbert located?
Carolyn Herbert practices at 304 Teaco Rd, Kennett, MO 63857. The listed phone number is (573) 888-0001.
What is Carolyn Herbert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Herbert enrolled in Medicare?
Yes. Carolyn Herbert 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 Carolyn Herbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Herbert reassigns Medicare benefits to 2 organizations: Mcpherson Medical & Diagnostic, LLC (Kennett, MO) and The Little Clinic Of Tennessee LLC (White House, TN). 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 Carolyn Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Herbert accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Carolyn Herbert 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 Carolyn Herbert was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carolyn Herbert · NPI 1386315778
Family physician in Kennett, Missouri. Individual provider, active in the CMS NPPES registry since September 24, 2021.
## Identity
- **NPI:** 1386315778 (Entity type: Individual)
- **Enumerated:** September 24, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021038571 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 304 TEACO RD, Kennett, MO 63857-3266
- **Phone:** (573) 888-0001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mcpherson Medical & Diagnostic, LLC (NPI 1124679774, Kennett, MO); The Little Clinic Of Tennessee LLC (NPI 1487848800, White House, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386315778) · Data from the CMS NPPES public registry.