Individual provider Active NPI

Neill M. Carter, FNP

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1023088705
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
620336 Issued in TX
Practice address
5902 66TH St
Lubbock, TX 79424-3048
Phone
(806) 797-2139
Fax
(806) 797-3105
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 620336 TX Primary

Addresses

Primary practice location

5902 66TH St
Lubbock, TX 79424-3048

Mailing address

PO Box 16626
Lubbock, TX 79490-6626
Phone (806) 797-2139

Other identifiers 1

IdentifierTypeStateIssuer
172053401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000726 TX Practitioner - Nurse Practitioner 1456419845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roger J. Wolcott, M.D., P.a. CurrentSince Oct 1, 2003 Accepting new patients

Locations

4321 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 701-5858

5902 66th St
Lubbock, TX 79424
Phone (806) 793-3999

5902 66th St
Unit B
Lubbock, TX 79424
Phone (806) 797-2139

Interoperability endpoints

  • Direct secure messaging: neill.carter@direct.myteamcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1023088705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16626",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906626",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243048",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NEILL",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "620336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172053401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.