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MARIE CARTER FNP
NPI 1730625427
Nurse Practitioner - Family in Shelbyville, TN

Active since January 18, 2017PECOS Enrolled
100/100
CMS Quality Rating
1701 N MAIN ST, SUITE C, SHELBYVILLE, TN 37160(931) 685-9000 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2017, Jan 18, 2017 (2 updates tracked since 2017).

About Marie Carter Fnp NPPES

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

MARIE CARTER FNP (NPI 1730625427) is an individual family provider in Shelbyville, Tennessee, licensed in Tennessee (22345) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730625427
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE CARTERCredential: FNP
Location Address1701 N MAIN ST, SUITE CShelbyville, TN 37160-2303
Mailing Address1120 Union StShelbyville, TN 37160-2137 · (931) 409-6501
Phone(931) 685-9000
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
Last NPPES UpdateMarch 30, 20172 updates tracked since enumeration
✔ NPI 1730625427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 22345
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN0000185765 (TN)
1701 N MAIN ST, Shelbyville, TN 37160
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services88 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DANNY L MELSON MD
General Practice
1701 N MAIN ST, SUITE B
SHELBYVILLE, TN 37160
Bedford County (931) 684-8686
BRIAN NATHAN SARAPIN P.A.
Physician Assistant
1701 N MAIN ST, SUITE D
SHELBYVILLE, TN 37160
Bedford County (931) 685-4060
MAGNUSON-STIMPSON MEDICAL CLINIC
Family Medicine
1701 N MAIN ST, SUITE D
SHELBYVILLE, TN 37160
Bedford County (931) 685-4060
CAROL L. MAGNUSON M.D.
Pediatrics
1701 N MAIN ST, SUITE D
SHELBYVILLE, TN 37160
Bedford County (931) 685-4060
NORTHSIDE URGENT CARE INC
Clinic/Center (Urgent Care)
1701 N MAIN ST, SUITE E
SHELBYVILLE, TN 37160
Bedford County (931) 684-1990
KELSEY DENNIS WRIGHT FNP-C
Nurse Practitioner (Family)
1701 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 685-9000
RUTHERFORD COUNTY PRIMARY CARE
Pharmacy (Community/Retail Pharmacy)
1701 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (615) 893-9390
CHARLES L. STIMPSON M.D.
Family Medicine
1701 N MAIN ST, SUITE D
SHELBYVILLE, TN 37160
Bedford County (931) 685-4060

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 Marie Carter's NPI number?

The NPI number for Marie Carter is 1730625427. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Marie Carter located?

Marie Carter practices at 1701 N Main St Suite C, Shelbyville, TN 37160. The listed phone number is (931) 685-9000.

What is Marie Carter's specialty?

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

Is Marie Carter enrolled in Medicare?

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

What insurance does Marie Carter accept?

Health plans from Oscar Insurance Company list Marie 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 Marie Carter was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.