CAROLYN HERBERT
NPI 1386315778
Nurse Practitioner - Family in Kennett, MO

Active since September 24, 2021PECOS EnrolledAccepts Medicare Assignment
304 TEACO RD, KENNETT, MO 63857(573) 888-0001 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Dec 27, 2022, Sep 24, 2021 (3 updates tracked since 2021).

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

NPI1386315778
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN HERBERT
Location Address304 TEACO RDKennett, MO 63857-3266
Mailing Address304 Teaco RdKennett, MO 63857-3266
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 24, 2021
Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1386315778 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
Licenses Licensed in MO · 2021038571 Licensed in TN · 33060
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 217516 (AR)
304 TEACO RD, Kennett, MO 63857

Secondary Practice Location 1

Location 13444 Plaza AveMemphis, TN 38111-4614 · Phone (901) 730-4204

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 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.

PECOS PAC ID648642363
PECOS Enrollment IDI20230929001791
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.

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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 14

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

Nurse Practitioner
304 TEACO RD
KENNETT, MO 63857
Obstetrics & Gynecology
304 TEACO RD, SUITE G
KENNETT, MO 63857
Clinic/Center (Rural Health)
304 TEACO RD, SUITE G
KENNETT, MO 63857
Family Medicine
304 TEACO RD, SUITE B
KENNETT, MO 63857
Nurse Practitioner (Primary Care)
304 TEACO RD
KENNETT, MO 63857
Anesthesiology (Pain Medicine)
304 TEACO RD
KENNETT, MO 63857
Social Worker (Clinical)
304 TEACO RD
KENNETT, MO 63857
Clinic/Center (Rural Health)
304 TEACO RD, SUITE A
KENNETT, MO 63857

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.

What insurance does Carolyn Herbert accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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 7 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.