DAVID CARR
NPI 1417614181
Nurse Practitioner - Psychiatric/Mental Health in La Salle, IL

Active since November 17, 2021PECOS EnrolledAccepts Medicare Assignment
2960 CHARTRES ST, LA SALLE, IL 61301(815) 224-1610 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, Aug 22, 2022, Nov 17, 2021 (3 updates tracked since 2021).

About David Carr NPPES

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

DAVID CARR (NPI 1417614181) is an individual psychiatric/mental health provider in La Salle, Illinois, licensed in Illinois (209027877) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417614181
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID CARR
Location Address2960 CHARTRES STLa Salle, IL 61301-1031
Mailing Address3413 Beaver Trl Apt DAurora, OH 44202-8523
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 17, 2021
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1417614181 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 IL · 209027877✔ Licensed in OH · 2022013042
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License RN.430412 (OH)
2960 CHARTRES ST, La Salle, IL 61301

Secondary Practice Location 1

Location 1340 S Broadway StAkron, OH 44308-1529 · Phone (330) 253-3100

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

David Carr 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 ID143696641
PECOS Enrollment IDI20251001004156
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 David Carr reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2960 CHARTRES ST.
Lasalle, IL 61301
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
390 ROBINSON AVE, SUITE E
Barberton, OH 44203
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
Psychiatry
4199 MILLPOND DR
Highland Hills, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 28 clinicians in this Medicare group
Addiction Psychiatry
9701 CLEVELAND AVE NW STE 150
North Canton, OH 44720
  • Reassigned Medicare billing, Ohio enrollment
  • 11 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 61301 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 15

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

Social Worker (Clinical)
2960 CHARTRES ST
LA SALLE, IL 61301
Counselor (Mental Health)
2960 CHARTRES ST
LA SALLE, IL 61301
Social Worker (Clinical)
2960 CHARTRES ST
LA SALLE, IL 61301
Counselor (Mental Health)
2960 CHARTRES ST
LA SALLE, IL 61301
Counselor (Mental Health)
2960 CHARTRES ST
LA SALLE, IL 61301
Counselor (Professional)
2960 CHARTRES ST
LA SALLE, IL 61301
Social Worker (Clinical)
2960 CHARTRES ST
LA SALLE, IL 61301
Social Worker (Clinical)
2960 CHARTRES ST
LA SALLE, IL 61301

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 David Carr's NPI number?

The NPI number for David Carr is 1417614181. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is David Carr located?

David Carr practices at 2960 Chartres St, La Salle, IL 61301. The listed phone number is (815) 224-1610.

What is David Carr's specialty?

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

Is David Carr enrolled in Medicare?

Yes. David Carr 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 David Carr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Carr reassigns Medicare benefits to 4 organizations: North Central Behavioral Health Systems, Inc (Lasalle, IL), Axess Family Services Inc (Barberton, OH), Highland Springs Physician Group, LLC (Highland Hills, OH) and (North Canton, 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 David Carr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Carr accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 4 other insurers list David Carr 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 David Carr was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.