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STACEY CARTER FNP
NPI 1720522931
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since December 06, 2016PECOS Enrolled
3303 W 26TH ST, CHICAGO, IL 60623(773) 277-6589 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Carter Fnp NPPES

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

STACEY CARTER FNP (NPI 1720522931) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720522931
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY CARTERCredential: FNP
Location Address3303 W 26TH STChicago, IL 60623-4036
Mailing Address3303 W 26th StChicago, IL 60623-4036
Phone(773) 277-6589
Sole ProprietorNo
Enumeration DateDecember 6, 2016
✔ NPI 1720522931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3303 W 26TH ST, Chicago, IL 60623
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Carter Fnp 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.

Other Providers at the Same Location NPPES 15

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

ILSE GABRIELA VEGA FNP-BC
Nurse Practitioner (Family)
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
OSCAR DIAZ M.D.
Pediatrics
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
SUKHVEER WAHI MD
Family Medicine
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
CHARLENE UY DMD
Dentist
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 552-1926
PUJA S PATEL
Physician Assistant (Medical)
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
DR. JORGE LUIS CASTILLO GONZALEZ M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589
PINAKI NALIN PATEL D.O.
Pediatrics
3303 W 26TH ST
CHICAGO, IL 60623
Cook County (773) 277-6589

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 Stacey Carter's NPI number?

The NPI number for Stacey Carter is 1720522931. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Where is Stacey Carter located?

Stacey Carter practices at 3303 W 26th St, Chicago, IL 60623. The listed phone number is (773) 277-6589.

What is Stacey Carter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stacey Carter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Carter was last updated on December 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.