CARPENTER PRIMARY HEALTHCARE, PLLC
NPI 1770971533
Nurse Practitioner - Family in Memphis, TN
About Carpenter Primary Healthcare, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARPENTER PRIMARY HEALTHCARE, PLLC (NPI 1770971533) is a healthcare organization registered as a family in Memphis, Tennessee and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Kenneth Andre Carpenter, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carpenter Primary Healthcare, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carpenter Primary Healthcare, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2089371
Carpenter Primary Healthcare, PLLC · Memphis, TNFrequently 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 Carpenter Primary Healthcare, PLLC's NPI number?
The NPI number for Carpenter Primary Healthcare, PLLC is 1770971533. It was assigned to this organization in the NPPES registry on January 2, 2015.
Where is Carpenter Primary Healthcare, PLLC located?
Carpenter Primary Healthcare, PLLC is located at 1251 Wesley Dr Suite 104, Memphis, TN 38116. The listed phone number is (901) 348-6426.
What is Carpenter Primary Healthcare, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carpenter Primary Healthcare, PLLC enrolled in Medicare?
Yes. Carpenter Primary Healthcare, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carpenter Primary Healthcare, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Carpenter Primary Healthcare, PLLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carpenter Primary Healthcare, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2089371) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carpenter Primary Healthcare, PLLC accept?
Health plans from Cigna Healthcare list Carpenter Primary Healthcare, PLLC 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 Carpenter Primary Healthcare, PLLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carpenter Primary Healthcare, Pllc · NPI 1770971533
Family organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since January 2, 2015.
## Identity
- **NPI:** 1770971533 (Entity type: Organization)
- **Enumerated:** January 2, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Carpenter, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 1251 WESLEY DR, SUITE 104, Memphis, TN 38116-6442
- **Phone:** (901) 348-6426
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770971533) · Data from the CMS NPPES public registry.