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KIMBERLY R CARTER CNP
NPI 1801260344
Nurse Practitioner - Family in Newburyport, MA

Active since November 20, 2015PECOS EnrolledAccepts Medicare Assignment
260 MERRIMAC ST, NEWBURYPORT, MA 01950(978) 499-7400(978) 499-7488 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Nov 20, 2015 (2 updates tracked since 2015).

About Kimberly R Carter Cnp NPPES

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

KIMBERLY R CARTER CNP (NPI 1801260344) is an individual family provider in Newburyport, Massachusetts, licensed in Massachusetts (214134) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801260344
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY R CARTERCredential: CNP
Location Address260 MERRIMAC STNewburyport, MA 01950-2192
Mailing Address260 Merrimac StNewburyport, MA 01950-2192 · (978) 499-7400 · Fax (978) 499-7488
Phone(978) 499-7400
Fax(978) 499-7488
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 20, 2015
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1801260344 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 MA · 214134
260 MERRIMAC ST, Newburyport, MA 01950
Open in Google Maps ↗

Accepted Insurance

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

Kimberly R Carter Cnp 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 ID8527362623
PECOS Enrollment IDI20160210002093
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 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
126 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
54 services54 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.
40 services40 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.
19 services18 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

RICHARD R RICCARDI M.D.
Anesthesiology
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 465-3033
ELISA ROSE LAROCHELLE NP
Nurse Practitioner (Family)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (798) 499-7200
ISAAC POURATI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 499-7400
MELISSA A. GINSBURG P.A.
Physician Assistant (Medical)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 499-7200
DR. KENNEDY LYN BROWN DC
Chiropractor
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 499-9355
INTEGRATED FAMILY WELLNESS, PC
Clinic/Center
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 499-9355
BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 465-7030
MR. MARK RYAN WARNAT PA-C
Physician Assistant
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Essex County (978) 499-7200

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 Kimberly Carter's NPI number?

The NPI number for Kimberly Carter is 1801260344. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Kimberly Carter located?

Kimberly Carter practices at 260 Merrimac St, Newburyport, MA 01950. The listed phone number is (978) 499-7400.

What is Kimberly Carter's specialty?

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

Is Kimberly Carter enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Carter accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kimberly 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 Kimberly Carter affiliated with any hospitals?

According to CMS data, Kimberly Carter is affiliated with Anna Jaques Hospital, North Shore Medical Center -, Massachusetts General Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Carter was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.