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

Active since February 22, 2010PECOS EnrolledAccepts Medicare Assignment
6451 VILLAGE LANE, MACUNGIE, PA 18062(610) 967-2772(610) 967-2559 Get Directions

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

Does Lisa Carter take my insurance?

Ambetter Health includes Lisa Carter in 12 Pennsylvania plans sold on Pennie for 2027, all on its Premier network. The same insurer also lists Lisa Carter in Iowa, New Jersey and Ohio.

Call before you book: insurer directories can be out of date, so call the office at (610) 967-2772 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

54 plans · 2027 plan year

Pennsylvania plans 12 plans

Plans sold to Pennsylvania residents. Costs are for the standard version of each plan.

Ambetter Health

12 plans · HMO
Not accepting new patients
Everyday GoldNetwork tier: PreferredHMOGold$80015983PA0010005View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80015983PA0020002View details
Complete GoldNetwork tier: PreferredHMOGold$1,45015983PA0010002View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45015983PA0020004View details
Complete SilverNetwork tier: PreferredHMOSilver$5,95015983PA0010007View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,95015983PA0020006View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30015983PA0010006View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30015983PA0020003View details
Elite BronzeNetwork tier: PreferredHMOExpanded Bronze$015983PA0010003View details
Elite Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$015983PA0020005View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$8,45015983PA0010004View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$8,45015983PA0020001View details

Also listed in other states 42 plans · 3 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Ohio

19 plans · HMO
Not accepting new patientsDeductible $1,200 to $9,350
Clear GoldNetwork tier: PreferredHMOGold$1,20041047OH0010067View details
Clear Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,20041047OH0030071View details
Complete GoldNetwork tier: PreferredHMOGold$1,45041047OH0010041View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45041047OH0030041View details
Signature GoldNetwork tier: PreferredHMOGold$2,50041047OH0010071View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50041047OH0030074View details
Streamlined SilverNetwork tier: PreferredHMOSilver$4,70041047OH0010034View details
Enhanced CHF Heart Care Silver $0 Rx OptionsNetwork tier: PreferredHMOSilver$6,00041047OH0010035View details
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,00041047OH0030035View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40041047OH0010070View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40041047OH0030073View details
Complete SilverNetwork tier: PreferredHMOSilver$6,95041047OH0010025View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,95041047OH0030025View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50041047OH0010069View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50041047OH0030072View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,95041047OH0010045View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,95041047OH0030045View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35041047OH0010057View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35041047OH0030057View details

Ambetter Health · Iowa

17 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Everyday GoldNetwork tier: PreferredHMOGold$80048286IA0010016View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80048286IA0020016View details
Complete GoldNetwork tier: PreferredHMOGold$1,45048286IA0010015View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45048286IA0020015View details
Signature GoldNetwork tier: PreferredHMOGold$2,50048286IA0010017View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50048286IA0020017View details
Streamlined SilverNetwork tier: PreferredHMOSilver$4,70048286IA0010025View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30048286IA0010019View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30048286IA0020019View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40048286IA0010020View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40048286IA0020023View details
Elite BronzeNetwork tier: PreferredHMOExpanded Bronze$048286IA0010013View details
Elite Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$048286IA0020013View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50048286IA0010014View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50048286IA0020014View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35048286IA0010012View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35048286IA0020012View details

Ambetter Health · New Jersey

6 plans · EPO
Not accepting new patientsDeductible $0 to $2,500
Elite Gold $0 Deductible + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOGold$017970NJ0010011View details
Secure Gold + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOGold$1,90017970NJ0010007View details
Elite Silver $0 Medical Deductible + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOSilver$017970NJ0010009View details
Balanced Silver + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOSilver$2,50017970NJ0010010View details
Premium Silver + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOSilver$2,50017970NJ0010006View details
Secure Silver with $0 Insulin Options + $0 Virtual 24/7 Care VisitsNetwork tier: PreferredEPOSilver$2,50017970NJ0010003View details

Questions about Lisa Carter’s insurance

Does Lisa Carter take Ambetter Health?

For Pennsylvania Marketplace plans, yes: Ambetter Health includes Lisa Carter in 12 plans for 2027. Call the office at (610) 967-2772 to confirm your plan before booking.

Is Lisa Carter accepting new patients?

The insurers that list Lisa Carter report that Lisa Carter is not accepting new patients. Call the office at (610) 967-2772 to confirm your plan before booking.

Do I need a referral to see Lisa Carter?

Not under the Pennsylvania plans that list Lisa Carter: the 2027 plan files say a specialist referral is not required.

Does Lisa Carter accept Medicare?

Yes. CMS files show Lisa Carter accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Ambetter Health: Nov 4, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here New Jersey and Pennsylvania. No document links.Plan year 2027, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.