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PROF. DENISE NICOLE CARTER APRN
NPI 1891448502
Nurse Practitioner - Family in Ashland, KY

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
12100 PRINCELAND RD, ASHLAND, KY 41102(606) 928-2963 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prof. Denise Nicole Carter Aprn NPPES

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

PROF. DENISE NICOLE CARTER APRN (NPI 1891448502) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3015357) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891448502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePROF. DENISE NICOLE CARTERCredential: APRN
Location Address12100 PRINCELAND RDAshland, KY 41102
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-9571 · Fax (606) 408-6061
Phone(606) 928-2963
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 2, 2022
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 4, 2022
✔ NPI 1891448502 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 KY · 3015357
12100 PRINCELAND RD, Ashland, KY 41102
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1250 McDavid Blvd Apt A1Grayson, KY 41143-1603 · Phone (606) 744-4099
Location 22126 Winchester AveAshland, KY 41101-7746 · Phone (606) 618-2102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Prof. Denise Nicole Carter Aprn 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 ID4082000351
PECOS Enrollment IDI20240919003667
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
121 services59 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
77 services56 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.
61 services32 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41102 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

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 Denise Carter's NPI number?

The NPI number for Denise Carter is 1891448502. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Denise Carter located?

Denise Carter practices at 12100 Princeland Rd, Ashland, KY 41102. The listed phone number is (606) 928-2963.

What is Denise Carter's specialty?

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

Is Denise Carter enrolled in Medicare?

Yes. Denise 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 Denise Carter accept?

Health plans from CareSource and Molina Healthcare list Denise 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 Denise Carter affiliated with any hospitals?

According to CMS data, Denise Carter is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Denise Carter was last updated on March 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.