KATHLEEN CARTER
NPI 1487195251
Nurse Practitioner in High Ridge, MO

Active since March 14, 2017PECOS EnrolledAccepts Medicare Assignment
1000 CROSSROADS PL, HIGH RIDGE, MO 63049(314) 687-2724 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2021, Oct 20, 2020, Nov 7, 2018 and 2 more (5 updates tracked since 2017).

About Kathleen Carter NPPES

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

KATHLEEN CARTER (NPI 1487195251) is an individual nurse practitioner in High Ridge, Missouri, licensed in Missouri (2015042859) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487195251
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN CARTER
Location Address1000 CROSSROADS PLHigh Ridge, MO 63049-2234
Mailing AddressPo Box 955534Saint Louis, MO 63195-4603
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 14, 2017
Last NPPES UpdateJune 10, 20215 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1487195251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2015042859
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2015042859 (MO)
1000 CROSSROADS PL, High Ridge, MO 63049

Secondary Practice Location 1

Location 11821 S Stoughton RdMadison, WI 53716-2257 · Phone (314) 989-6807 · Fax (314) 989-2940

Other Identifiers 1

Medicaid1487195251WI

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

Kathleen Carter 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 ID5496022824
PECOS Enrollment IDI20170606001671, I20210510000496, I20210513000041, I20210614001000
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more

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.

This service was performed 50 times for 49 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.58 for a new patient copayment and $24.59 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63049 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.32
  • Minimum New Patient Price $55.65
  • Maximum New Patient Price $169.38
  • Average New Patient Copayment $21.58
  • Minimum New Patient Copayment $13.91
  • Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.37
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $137.92
  • Average Established Patient Copayment $24.59
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacist
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacist
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacist
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacist
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacy
1000 CROSSROADS PL
HIGH RIDGE, MO 63049
Pharmacist
1000 CROSSROADS PL
HIGH RIDGE, MO 63049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487195251, enumerated as an "individual" on March 14, 2017.

The provider is located at 1000 CROSSROADS PL HIGH RIDGE, MO 63049 and the phone number is (314) 687-2724.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.