AGNES CARTRY
NPI 1922685395
Student in an Organized Health Care Education/Training Program in San Rafael, CA
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, maintains a secondary practice location in Dobbins, and is a graduate of Pacific Medical College (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Agnes Cartry 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.
Medicare Billing Reassignment
Medicare enrollment records show Agnes Cartry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grass Valley, CA 95949
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Agnes Cartry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Cartry reassigns Medicare benefits to Spencer Campbell Marriage And Family Therapy Inc (Grass Valley, CA). 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 Agnes Cartry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Agnes Cartry · NPI 1922685395
Student in an Organized Health Care Education/Training Program provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1922685395 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1330 LINCOLN AVE STE 201, San Rafael, CA 94901-2142
- **Phone:** (415) 459-5999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spencer Campbell Marriage And Family Therapy Inc (NPI 1114552981, Grass Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Medical College, class of 2023
## Record status
- **NPPES last updated:** March 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922685395) · Data from the CMS NPPES public registry.