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MRS. DELLA LEE HUGHES CARTER DNP, G.N.P. - B.C.
NPI 1700160306
Nurse Practitioner - Gerontology in Hastings, MI

Active since October 01, 2011PECOS Enrolled
225 S M 37 HWY, HASTINGS, MI 49058(269) 945-3401 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Della Lee Hughes Carter Dnp, G.n.p. - B.c. NPPES

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

MRS. DELLA LEE HUGHES CARTER DNP, G.N.P. - B.C. (NPI 1700160306) is an individual gerontology provider in Hastings, Michigan, licensed in Michigan (4704149209) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700160306
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. DELLA LEE HUGHES CARTERCredential: DNP, G.N.P. - B.C.
Location Address225 S M 37 HWYHastings, MI 49058-9676
Mailing Address225 S M 37 HwyHastings, MI 49058-9676 · (269) 945-3401
Phone(269) 945-3401
Sole ProprietorYes
Enumeration DateOctober 1, 2011
Last NPPES UpdateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1700160306 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 · 4704149209
225 S M 37 HWY, Hastings, MI 49058
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Della Lee Hughes Carter Dnp, G.n.p. - B.c. 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 Reassignments

2

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

Provider Profile
8.5 mi
Family Medicine
1005 W GREEN ST, SUITE 303
Hastings, MI 49058
  • Reassigned Medicare billing, Michigan enrollment
NPI 1831198795 (269) 945-3401
Care Free Medical, Inc
38 mi
Family Medicine
1100 W SAGINAW ST STE 5
Lansing, MI 48915
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1518983907 (517) 887-5922

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 49058 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%57 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%91 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MRS. JULIE RENAE RICHARDSON P.T.
Physical Therapist
225 S M 37 HWY
HASTINGS, MI 49058
Barry County (616) 333-2721

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 Della Hughes Carter's NPI number?

The NPI number for Della Hughes Carter is 1700160306. It was assigned to this individual provider in the NPPES registry on October 1, 2011.

Where is Della Hughes Carter located?

Della Hughes Carter practices at 225 S M 37 Hwy, Hastings, MI 49058. The listed phone number is (269) 945-3401.

What is Della Hughes Carter's specialty?

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

Is Della Hughes Carter enrolled in Medicare?

Yes. Della Hughes Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Della Hughes Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Della Hughes Carter reassigns Medicare benefits to 2 organizations: (Hastings, MI) and Care Free Medical, Inc (Lansing, 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 Della Hughes Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Della Hughes Carter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Della Hughes 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 Della Hughes Carter was last updated on July 12, 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.