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VICKIE DENISE CARTER APRN
NPI 1558933218
Nurse Practitioner - Family in Pikeville, KY

Active since July 13, 2021PECOS Enrolled
86.86/100
CMS Quality Rating
238 CASSIDY BLVD, PIKEVILLE, KY 41501(606) 430-2230(606) 437-2525 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2022, Oct 4, 2021, Jul 14, 2021 (3 updates tracked since 2021).

About Vickie Denise Carter Aprn NPPES

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

VICKIE DENISE CARTER APRN (NPI 1558933218) is an individual family provider in Pikeville, Kentucky, licensed in Kentucky (3016206) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558933218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICKIE DENISE CARTERCredential: APRN
Location Address238 CASSIDY BLVDPikeville, KY 41501-1426
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2230 · Fax (606) 437-2525
Phone(606) 430-2230
Fax(606) 437-2525
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1558933218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3016206
238 CASSIDY BLVD, Pikeville, KY 41501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vickie Denise Carter Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Vickie Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pikeville Medical Center Inc.
0.1 mi
Clinic/Center
254 CASSIDY BLVD
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1710207865 (606) 437-0123

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Other Providers at the Same Location NPPES 19

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

KAMALA OJHA MD
Internal Medicine
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
CASSIE RENEE RATLIFF APRN, FNP-C
Nurse Practitioner (Family)
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
STAN MICHAEL JOHNSON M.D.
Pediatrics
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
SHYLAH NAPIER
Pediatrics
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-3500
JAMIE D NEWSOME ARNP
Nurse Practitioner
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
JANEY LYNN WATTS DO
Family Medicine
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
CATHERINE D. HUFFMAN PSY D
Psychologist (Clinical)
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
DR. AARONDA D WELLS MD
Pediatrics
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230

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 Vickie Carter's NPI number?

The NPI number for Vickie Carter is 1558933218. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Vickie Carter located?

Vickie Carter practices at 238 Cassidy Blvd, Pikeville, KY 41501. The listed phone number is (606) 430-2230.

What is Vickie Carter's specialty?

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

Is Vickie Carter enrolled in Medicare?

Yes. Vickie Carter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vickie Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vickie Carter reassigns Medicare benefits to Pikeville Medical Center Inc. (Pikeville, KY). The 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 Vickie Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vickie Carter accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Vickie Carter 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.

When was this NPI record last updated?

The NPPES record for Vickie Carter was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.