CHARLES KEITH CARPENTER NP
NPI 1497085963
Nurse Practitioner - Family in Midland, MI

Active since January 06, 2010PECOS EnrolledAccepts Medicare Assignment
4000 WELLNESS DR, MIDLAND, MI 48670(844) 832-1956 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Apr 8, 2021, Jan 12, 2021 and 1 more (4 updates tracked since 2020).

About Charles Keith Carpenter Np NPPES

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

CHARLES KEITH CARPENTER NP (NPI 1497085963) is an individual family provider in Midland, Michigan, licensed in Michigan (4704271364) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Midland, and is a graduate of University Of Michigan Medical School (2015).

NPPES Registry Identity

NPI1497085963
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES KEITH CARPENTERCredential: NP
Location Address4000 WELLNESS DRMidland, MI 48670-2483
Mailing AddressPo Box 3272Saginaw, MI 48605-3272 · (989) 797-1400 · Fax (989) 797-4077
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2015
Enumeration DateJanuary 6, 2010
Last NPPES UpdateFebruary 14, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1497085963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704271364
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704271364 (MI)
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 4704271364 (MI)
Also ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X · License 4704271364 (MI)
4000 WELLNESS DR, Midland, MI 48670

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Keith Carpenter Np 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 ID648524512
PECOS Enrollment IDI20181112002053
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Carpenter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48670 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Family Medicine
4000 WELLNESS DR
MIDLAND, MI 48670

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 Charles Carpenter's NPI number?

The NPI number for Charles Carpenter is 1497085963. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Charles Carpenter located?

Charles Carpenter practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (844) 832-1956.

What is Charles Carpenter's specialty?

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

Is Charles Carpenter enrolled in Medicare?

Yes. Charles Carpenter 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.

Which organizations bill Medicare for Charles Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Carpenter reassigns Medicare benefits to 2 organizations: Mymichigan Medical Group (Midland, MI) and Sound Inpatient Physicians-Michigan PLLC (Grayling, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Carpenter accept?

Health plans from Priority Health list Charles Carpenter 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.

Is Charles Carpenter affiliated with any hospitals?

According to CMS data, Charles Carpenter is affiliated with Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Charles Carpenter was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.