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MS. TONYA CARTER FNP-C
NPI 1760859458
Nurse Practitioner - Family in Fayetteville, NC

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
2153 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304(910) 672-0350(910) 672-0355 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Jul 2, 2025 (2 updates tracked since 2025).

About Ms. Tonya Carter Fnp-c NPPES

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

MS. TONYA CARTER FNP-C (NPI 1760859458) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5007899) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Sanford.

NPPES Registry Identity

NPI1760859458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TONYA CARTERCredential: FNP-C
Location Address2153 VALLEYGATE DR, SUITE 101Fayetteville, NC 28304-3681
Mailing Address2153 Valleygate Dr, Suite 101Fayetteville, NC 28304-3681 · (910) 672-0350 · Fax (910) 672-0355
Phone(910) 672-0350
Fax(910) 672-0355
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2015
Enumeration DateAugust 28, 2015
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1760859458 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 NC · 5007899
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007899 (NC)
2153 VALLEYGATE DR, Fayetteville, NC 28304
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Central DrSanford, NC 27330-4159 · Phone (919) 718-9512

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Ms. Tonya Carter Fnp-c 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 ID1355641598
PECOS Enrollment IDI20151119002842
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

4

Medicare enrollment records show Tonya Carter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Fear Valley Health Medical Group LLC
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR STE 101
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1609750777 (910) 672-0350
Cumberland County Hospital System Inc
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR STE 101
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1386084671 (910) 672-0350
Unc Physicians Network, LLC
33 mi
Cardiovascular Disease
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1396174363 (910) 295-5511
University Of North Carolina At Chapel Hill
55 mi
Family Medicine
401 E WHITAKER MILL RD STE 2100
Raleigh, NC 27608
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1972912285 (984) 974-4832

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 6

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.
270 services131 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services74 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
29 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients
Programming of dual lead implantable defibrillator system 93283
Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.
19 services15 patients
Programming of multiple lead implantable defibrillator system 93284
Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
17 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 9

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

MR. TONY JAMES MEZERA PA-C
Physician Assistant (Medical)
2153 VALLEYGATE DR, SUITE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 321-7246
CAPE FEAR CARDIOVASCULAR & THORACIC SURGERY PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 672-0350
MARI DIXON NP-C
Nurse Practitioner (Family)
2153 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 672-0350
ROBERT E MAUGHAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 672-0350
INTERVENTIONAL PAIN CENTER PLLC
Anesthesiology (Pain Medicine)
2153 VALLEYGATE DR, SUITE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 321-7246
DR. GREGORY STEPHEN KEAGY DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 672-0350
DR. ADAM CHRISTOPHER CELIO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2153 VALLEYGATE DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 672-0350
EUGENIA SYTNYK
Nurse Practitioner (Adult Health)
2153 VALLEYGATE DR, STE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 321-7246

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 1760859458. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Tonya Carter located?

Tonya Carter practices at 2153 Valleygate Dr Suite 101, Fayetteville, NC 28304. The listed phone number is (910) 672-0350.

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 4 organizations: Cape Fear Valley Health Medical Group LLC (Fayetteville, NC), Cumberland County Hospital System Inc (Fayetteville, NC), Unc Physicians Network, LLC (Pinehurst, NC) and University Of North Carolina At Chapel Hill (Raleigh, NC). 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 Blue Cross and Blue Shield of NC and UnitedHealthcare 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 Cape Fear Valley Medical Center, Southeastern Regional Medical Center, Unc Hospitals and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Carter was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.