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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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
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
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.

What insurance does David Carr accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio 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 with the weekly NPPES data releases published by CMS.