KATHLEEN CARTER
NPI 1487195251
Nurse Practitioner in High Ridge, MO

Q: What is Kathleen Carter's NPI number?

The NPI number for Kathleen Carter is 1487195251. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Q: What is Kathleen Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Carter was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

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: August 09, 2026.

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

On this page

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

Phone(314) 687-2724

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Medica and more.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 CMS Part B claims

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.

50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63049 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 7

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

AMANDA BAUMANN PHARM.D

Pharmacist