TONYA M CARTER CNP
NPI 1720218654
Nurse Practitioner - Family in Columbus, OH
About Tonya M Carter Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA M CARTER CNP (NPI 1720218654) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.10807) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Powell.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Tonya M Carter Cnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tonya Carter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43227
- Reassigned Medicare billing, Ohio enrollment
- 4 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 62 clinicians in this Medicare group
Westerville, OH 43082
- Reassigned Medicare billing, Ohio enrollment
- 675 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLUMBUS, OH 43210
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 Tonya Carter's NPI number?
The NPI number for Tonya Carter is 1720218654. It was assigned to this individual provider in the NPPES registry on July 27, 2009.
Where is Tonya Carter located?
Tonya Carter practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.
What is Tonya Carter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonya Carter enrolled in Medicare?
Yes. Tonya 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.
Which organizations bill Medicare for Tonya Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Carter reassigns Medicare benefits to 3 organizations: Metropolitan Family Care, Inc. (Columbus, OH), Cityblock Medical Practice, LLC (Columbus, OH) and Central Ohio Primary Care Physicians, Inc. (Westerville, OH). 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 Tonya Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Carter accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Tonya 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.
Is Tonya Carter affiliated with any hospitals?
According to CMS data, Tonya Carter is affiliated with Riverside Methodist Hospital and Grant Medical Center.
When was this NPI record last updated?
The NPPES record for Tonya Carter was last updated on July 31, 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.
# Tonya M Carter, CNP · NPI 1720218654
Family physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since July 27, 2009.
## Identity
- **NPI:** 1720218654 (Entity type: Individual)
- **Enumerated:** July 27, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.10807 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 410 W 10TH AVE, Columbus, OH 43210-1240
- **Phone:** (614) 293-8000 · **Fax:** (614) 473-0722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Metropolitan Family Care, Inc. (NPI 1912066499, Columbus, OH); Cityblock Medical Practice, LLC (NPI 1013673821, Columbus, OH); Central Ohio Primary Care Physicians, Inc. (NPI 1194705194, Westerville, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 31, 2021
- **Other identifiers:** Medicaid 3012046 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1720218654) · Data from the CMS NPPES public registry.