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APRIL DAWN CARLTON
NPI 1750904199
Nurse Practitioner - Family in Benton, AR

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
203 LILLIAN, BENTON, AR 72015(501) 507-0710(501) 507-0721 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2021, May 20, 2020 (2 updates tracked since 2020).

About April Dawn Carlton NPPES

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

APRIL DAWN CARLTON (NPI 1750904199) is an individual family provider in Benton, Arkansas, licensed in Arkansas (125099) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750904199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAPRIL DAWN CARLTON
Location Address203 LILLIANBenton, AR 72015-3851
Mailing Address203 LillianBenton, AR 72015-3851 · (501) 507-0710 · Fax (501) 507-0721
Phone(501) 507-0710
Fax(501) 507-0721
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
✔ NPI 1750904199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 125099
203 LILLIAN, Benton, AR 72015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

April Dawn Carlton 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 ID7911309885
PECOS Enrollment IDI20210714003188
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services42 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
29 services15 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72015 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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

Closing the Referral Loop: Receipt of Specialist Report
0%33 patients1/55-star benchmark: 87%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$15.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$64.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

PROMED PREFERRED AR 2 PROFESSIONAL CORPORATION
Internal Medicine
203 LILLIAN
BENTON, AR 72015
Saline County (615) 499-3165
ARKANSAS HEALING SPACE, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
203 LILLIAN
BENTON, AR 72015
Saline County (501) 515-2127
TAMMY RENEE TATUM CNP
Nurse Practitioner
203 LILLIAN
BENTON, AR 72015
Saline County (870) 815-0337
CARLTON FAMILY PRACTICE, LLC
Nurse Practitioner (Family)
203 LILLIAN
BENTON, AR 72015
Saline County (501) 501-0710

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 April Carlton's NPI number?

The NPI number for April Carlton is 1750904199. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is April Carlton located?

April Carlton practices at 203 Lillian, Benton, AR 72015. The listed phone number is (501) 507-0710.

What is April Carlton's specialty?

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

Is April Carlton enrolled in Medicare?

Yes. April Carlton 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.

What insurance does April Carlton accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list April Carlton 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 April Carlton was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.