SARAH MELISSA CARTER FNP
NPI 1427691765
Nurse Practitioner - Family in Scarborough, ME

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 CAMPUS DR UNIT 121, SCARBOROUGH, ME 04074(207) 396-8339 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2022, Nov 26, 2019, Oct 18, 2019 (3 updates tracked since 2019).

About Sarah Melissa Carter Fnp NPPES

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

SARAH MELISSA CARTER FNP (NPI 1427691765) is an individual family provider in Scarborough, Maine, licensed in Maine (CNP191115) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1427691765
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH MELISSA CARTERCredential: FNP
Location Address100 CAMPUS DR UNIT 121Scarborough, ME 04074-7172
Mailing Address100 Campus Dr Unit 121Scarborough, ME 04074-7172 · (207) 396-8339
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1427691765 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
License Licensed in ME · CNP191115
Also ListedRegistered NurseTaxonomy 163W00000X · License RN53869 (ME)
100 CAMPUS DR UNIT 121, Scarborough, ME 04074

Secondary Practice Location 1

Location 1100 Brickhill AveSouth Portland, ME 04106-1999 · Phone (207) 773-1728

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

Sarah Melissa Carter Fnp 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 ID7618302159
PECOS Enrollment IDI20200110001737
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.

Areas of Expertise CMS Part B claims 4

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.
87 services80 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.
55 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers21 claims2,640 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers29 claims4,260 services$1.69 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers13 claims180 services$4.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Genetic Counselor, MS
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Surgery
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR UNIT 121
SCARBOROUGH, ME 04074

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 Sarah Carter's NPI number?

The NPI number for Sarah Carter is 1427691765. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Sarah Carter located?

Sarah Carter practices at 100 Campus Dr Unit 121, Scarborough, ME 04074. The listed phone number is (207) 396-8339.

What is Sarah Carter's specialty?

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

Is Sarah Carter enrolled in Medicare?

Yes. Sarah Carter 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.

Is Sarah Carter affiliated with any hospitals?

According to CMS data, Sarah Carter is affiliated with Maine Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sarah Carter was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.