MRS. LISA A CARTER CRNP
NPI 1922320621
Nurse Practitioner - Family in Macungie, PA

Q: What is Lisa Carter's NPI number?

The NPI number for Lisa Carter is 1922320621. It was assigned to this individual provider in the NPPES registry on February 22, 2010.

Q: What is Lisa Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Carter was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 22, 2010PECOS EnrolledAccepts Medicare Assignment

6451 VILLAGE LANE, MACUNGIE, PA 18062(610) 967-2772(610) 967-2559 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mrs. Lisa A Carter Crnp NPPES

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

MRS. LISA A CARTER CRNP (NPI 1922320621) is an individual family provider in Macungie, Pennsylvania, licensed in Pennsylvania (SPO10109) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1922320621

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA A CARTERCredential: CRNP

Location Address6451 VILLAGE LANEMacungie, PA 18062-0000

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311

Phone(610) 967-2772

Fax(610) 967-2559

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 22, 2010

Last NPPES UpdateDecember 17, 2015

✔ NPI 1922320621 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 PA · SPO10109

6451 VILLAGE LANE, Macungie, PA 18062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.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

Mrs. Lisa A Carter Crnp 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 ID840441036

PECOS Enrollment IDI20260520000099

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 Reassignment

Medicare enrollment records show Lisa Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infinite Medical PC

238 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, Maryland, New York and Pennsylvania enrollments
16 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

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 3

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.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

775 services775 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

434 services434 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18062 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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 Lisa Carter's NPI number?

The NPI number for Lisa Carter is 1922320621. It was assigned to this individual provider in the NPPES registry on February 22, 2010.

Where is Lisa Carter located?

Lisa Carter practices at 6451 Village Lane, Macungie, PA 18062. The listed phone number is (610) 967-2772.

What is Lisa Carter's specialty?

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

Is Lisa Carter enrolled in Medicare?

Yes. Lisa 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 organization bills Medicare for Lisa Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Carter reassigns Medicare benefits to Infinite Medical PC (Bristol, RI). The 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 Lisa Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Carter accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Lisa 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 Lisa Carter was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.