Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. CAROLYN SUE CANTERBURY NP
NPI 1942510102
Nurse Practitioner - Family in Montgomery City, MO

Q: What is Carolyn Canterbury's NPI number?

The NPI number for Carolyn Canterbury is 1942510102. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Q: What is Carolyn Canterbury's specialty?

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

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment

1225 AGUILAR DR, MONTGOMERY CITY, MO 63361(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2022, May 19, 2022, Dec 15, 2020 and 1 more (4 updates tracked since 2020).

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About Ms. Carolyn Sue Canterbury Np NPPES

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

MS. CAROLYN SUE CANTERBURY NP (NPI 1942510102) is an individual family provider in Montgomery City, Missouri, licensed in Missouri (2010033156) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and maintains a secondary practice location in Mexico.

NPPES Registry Identity

NPI1942510102

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CAROLYN SUE CANTERBURYCredential: NP

Location Address1225 AGUILAR DRMontgomery City, MO 63361-2723

Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212

Phone(573) 582-1234

Fax(573) 582-1212

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 20, 2010

Last NPPES UpdateJune 29, 20264 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1942510102 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 MO · 2010033156

1225 AGUILAR DR, Montgomery City, MO 63361

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Secondary Practice Location 1

Location 1340 Kelley PkwyMexico, MO 65265-3811 · Phone (573) 582-1234 ext. 3017

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Ms. Carolyn Sue Canterbury Np 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 ID1951598838

PECOS Enrollment IDI20101203000777

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.

Hospital Affiliations CMS Care Compare 2

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Hermann Area District Hospital

Critical Access Hospitals · Hermann, MO

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261314

Location509 W 18th StHermann, MO 65041 · Gasconade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63361 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers34 claims35 services$5.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKE CHENG

Dentist (General Practice)

1225 AGUILAR DR
MONTGOMERY CITY, MO 63361

Montgomery County (573) 582-1234

HOLLY THOMAS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1225 AGUILAR DR
MONTGOMERY CITY, MO 63361

Montgomery County (573) 582-1234

JULIE JOHNSON PLPC

Counselor (Professional)

1225 AGUILAR DR
MONTGOMERY CITY, MO 63361

Montgomery County (573) 582-1234

DR. CHERYL HARMON D.D.S.

Dentist

1225 AGUILAR DR
MONTGOMERY CITY, MO 63361

Montgomery County (573) 582-1234

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 Carolyn Canterbury's NPI number?

The NPI number for Carolyn Canterbury is 1942510102. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Carolyn Canterbury located?

Carolyn Canterbury practices at 1225 Aguilar Dr, Montgomery City, MO 63361. The listed phone number is (573) 582-1234.

What is Carolyn Canterbury's specialty?

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

Is Carolyn Canterbury enrolled in Medicare?

Yes. Carolyn Canterbury 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 Carolyn Canterbury accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Carolyn Canterbury 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 Carolyn Canterbury affiliated with any hospitals?

According to CMS data, Carolyn Canterbury is affiliated with Boone Hospital Center and Hermann Area District Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Canterbury was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.