KRISTY MICHELLE CARTER APRN
NPI 1487942421
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1775 ALYSHEBA WAY STE 201, LEXINGTON, KY 40509(859) 278-5007(859) 278-6867 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristy Michelle Carter Aprn NPPES

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

KRISTY MICHELLE CARTER APRN (NPI 1487942421) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3007006) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487942421
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTY MICHELLE CARTERCredential: APRN
Location Address1775 ALYSHEBA WAY STE 201Lexington, KY 40509-2381
Mailing Address1775 Alysheba Way Ste 201Lexington, KY 40509-2381 · (859) 278-5007 · Fax (859) 278-6867
Fax(859) 278-6867
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 12, 2011
Last NPPES UpdateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
NPI 1487942421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3007006
1775 ALYSHEBA WAY STE 201, Lexington, KY 40509

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

Kristy Michelle Carter Aprn 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 ID6901067461
PECOS Enrollment IDI20120411000243
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 6

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
85 services26 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.
62 services27 patients
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.
28 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Internal Medicine
1775 ALYSHEBA WAY STE 201
LEXINGTON, KY 40509
Physician Assistant
1775 ALYSHEBA WAY STE 201
LEXINGTON, KY 40509
Family Medicine
1775 ALYSHEBA WAY STE 201
LEXINGTON, KY 40509

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 Kristy Carter's NPI number?

The NPI number for Kristy Carter is 1487942421. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Kristy Carter located?

Kristy Carter practices at 1775 Alysheba Way Ste 201, Lexington, KY 40509. The listed phone number is (859) 278-5007.

What is Kristy Carter's specialty?

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

Is Kristy Carter enrolled in Medicare?

Yes. Kristy 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.

When was this NPI record last updated?

The NPPES record for Kristy Carter was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.