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CARRI DAWN MCCARTHY NP-C
NPI 1689252116
Nurse Practitioner - Gerontology in Saint Joseph, MI

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3800 HOLLYWOOD RD STE 104, SAINT JOSEPH, MI 49085(269) 428-0819(269) 428-0841 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carri Dawn Mccarthy Np-c NPPES

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

CARRI DAWN MCCARTHY NP-C (NPI 1689252116) is an individual gerontology provider in Saint Joseph, Michigan, licensed in Michigan (4704167106) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689252116
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCARRI DAWN MCCARTHYCredential: NP-C
Location Address3800 HOLLYWOOD RD STE 104Saint Joseph, MI 49085-8511
Mailing Address3800 Hollywood Rd Ste 104Saint Joseph, MI 49085-8511 · (269) 428-0819 · Fax (269) 428-0841
Phone(269) 428-0819
Fax(269) 428-0841
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1689252116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704167106
3800 HOLLYWOOD RD STE 104, Saint Joseph, MI 49085
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Carri Dawn Mccarthy Np-c 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 ID2769891290
PECOS Enrollment IDI20210512002496
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

4

Medicare enrollment records show Carri Mccarthy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Michigan Nephrology, L.L.C
Same address
Specialist
3800 HOLLYWOOD RD STE 104
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Lake Michigan Nephrology LLC
  • 8 clinicians in this Medicare group
NPI 1821201500 (269) 428-0819
Region IV Area Agency On Aging, Inc
3.0 mi
Case Management
2900 LAKEVIEW AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1366524985 (269) 983-0177
Theoria Medical
139 mi
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1164186946 (810) 215-7177
Complexcare Medical Group Midwest M PLLC
156 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220

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

Areas of Expertise CMS Part B claims 4

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
72 services18 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
68 services17 patients
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.
36 services14 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
29 services13 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
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.

DEBORA TENTER NP
Nurse Practitioner (Family)
3800 HOLLYWOOD RD STE 104
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0819
LAKE MICHIGAN NEPHROLOGY, L.L.C
Specialist
3800 HOLLYWOOD RD STE 104
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0819
MR. TERRY NEIL MEHIGAN FNP
Nurse Practitioner (Primary Care)
3800 HOLLYWOOD RD STE 104
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0819

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 Carri Mccarthy's NPI number?

The NPI number for Carri Mccarthy is 1689252116. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Carri Mccarthy located?

Carri Mccarthy practices at 3800 Hollywood Rd Ste 104, Saint Joseph, MI 49085. The listed phone number is (269) 428-0819.

What is Carri Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Carri Mccarthy enrolled in Medicare?

Yes. Carri Mccarthy 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 Carri Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carri Mccarthy reassigns Medicare benefits to 4 organizations: Lake Michigan Nephrology, L.L.C (Saint Joseph, MI), Region IV Area Agency On Aging, Inc (Saint Joseph, MI), Theoria Medical (Brighton, MI) and Complexcare Medical Group Midwest M PLLC (Novi, 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 Carri Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carri Mccarthy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Carri Mccarthy 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 Carri Mccarthy affiliated with any hospitals?

According to CMS data, Carri Mccarthy is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Carri Mccarthy was last updated on March 29, 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.