AGNES CARTRY
NPI 1922685395
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since March 24, 2021PECOS Enrolled
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901(415) 459-5999 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Agnes Cartry NPPES

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

AGNES CARTRY (NPI 1922685395) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Pacific Medical College (2023).

NPPES Registry Identity

NPI1922685395
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAGNES CARTRY
Location Address1330 LINCOLN AVE STE 201San Rafael, CA 94901-2142
Mailing AddressPo Box 1204Grass Valley, CA 95945-1204 · (530) 277-9513
Sole ProprietorNo
Medical School CMSPacific Medical CollegeGraduated 2023
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1922685395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1330 LINCOLN AVE STE 201, San Rafael, CA 94901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Agnes Cartry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103380910
PECOS Enrollment IDI20260713003403
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.

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.

Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marriage & Family Therapist
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Counselor (Mental Health)
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Rehabilitation Counselor
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901

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 Agnes Cartry's NPI number?

The NPI number for Agnes Cartry is 1922685395. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Agnes Cartry located?

Agnes Cartry practices at 1330 Lincoln Ave Ste 201, San Rafael, CA 94901. The listed phone number is (415) 459-5999.

What is Agnes Cartry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Agnes Cartry enrolled in Medicare?

Yes. Agnes Cartry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Agnes Cartry was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.