EBONY DOMINAQUE CARTER NP-C
NPI 1770905226
Nurse Practitioner - Gerontology in Shaker Heights, OH

Active since January 16, 2014PECOS Enrolled
3435 LEE RD, SHAKER HEIGHTS, OH 44120(216) 752-9090(216) 752-9080 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Jan 12, 2022, Jan 7, 2022 and 2 more (5 updates tracked since 2019).

About Ebony Dominaque Carter Np-c NPPES

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

EBONY DOMINAQUE CARTER NP-C (NPI 1770905226) is an individual gerontology provider in Shaker Heights, Ohio, licensed in Ohio (APRN.CNP.0027466) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770905226
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameEBONY DOMINAQUE CARTERCredential: NP-C
Location Address3435 LEE RDShaker Heights, OH 44120-3649
Mailing Address3435 Lee RdShaker Heights, OH 44120-3649 · (216) 752-9090 · Fax (216) 752-9080
Fax(216) 752-9080
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 16, 2014
Last NPPES UpdateFebruary 10, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1770905226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.0027466
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.413108 (OH)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN138244 (OH)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN.CNP.0027466 (OH)
3435 LEE RD, Shaker Heights, OH 44120

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Dominaque Carter Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870909252
PECOS Enrollment IDI20210309003341
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 Ebony Carter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3435 LEE RD
Shaker Heights, OH 44120
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Case Management
1744 PAYNE AVE
Cleveland, OH 44114
  • Reassigned Medicare billing, Ohio enrollment
  • 44 clinicians in this Medicare group
Primary Care
6545 MARKET AVE N STE 100
Canton, OH 44721
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Professional
21 E STATE ST STE 200
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 39 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44120 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
3435 LEE RD
SHAKER HEIGHTS, OH 44120
Psychiatry & Neurology (Psychiatry)
3435 LEE RD
SHAKER HEIGHTS, OH 44120
Dietitian, Registered
3435 LEE RD
SHAKER HEIGHTS, OH 44120

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 Ebony Carter's NPI number?

The NPI number for Ebony Carter is 1770905226. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Ebony Carter located?

Ebony Carter practices at 3435 Lee Rd, Shaker Heights, OH 44120. The listed phone number is (216) 752-9090.

What is Ebony Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ebony Carter enrolled in Medicare?

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

Which organizations bill Medicare for Ebony Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Carter reassigns Medicare benefits to 4 organizations: Strive Mental Health And Wellness LLC (Shaker Heights, OH), Mental Health Services For Homeless Persons, Inc. (Cleveland, OH), Vista Blue Health And Wellness (Canton, OH) and Brighter Day Oh LLC (Columbus, 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 Ebony Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Carter accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Ebony 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 Ebony Carter was last updated on February 10, 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.