Mitchell Lee Carter, FNP
Individual provider Active NPI Hospitalist Physician · Lebanon, IN
NPI 1104156801 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1104156801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 71003214A (IN)
- Practice address
- 2605 N Lebanon St
Lebanon, IN 46052-1476 - Phone
- (765) 485-8000
- NPI assigned
- Jan 4, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Witham Memorial Hospital
Practice addresses (Care Compare)
2505 N Lebanon St
130 Witham Pulmonology Lebanon
Lebanon, IN 46052-8613
Phone (765) 485-8830
Hospital & facility affiliations
- Witham Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130503000381 | IN | Practitioner - Nurse Practitioner | 5395982672 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28158256A | IN | MD | Family Nurse Practitioner |
| 71003214A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Current |
Accepting new patients | |
| Witham Memorial Hospital | Current |
Accepting new patients |
Locations
407 E Market St
Crawfordsvlle, IN 47933
Phone (317) 528-4251
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
2505 N Lebanon St
Ste 130
Lebanon, IN 46052
Phone (317) 872-1577
2705 N Lebanon St
Ste 265
Lebanon, IN 46052
Phone (765) 485-8730
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
1650 W Oak St
Ste 101
Zionsville, IN 46077
Phone (317) 733-6300
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003214A | IN | |
| Hospitalist Physician | 208M00000X | 71003214A | IN | Yes |
| Family Nurse Practitioner | 363LF0000X | 28158256A | IN |
Addresses
Primary practice location
2605 N Lebanon St
Lebanon, IN 46052-1476
Mailing address
2605 N Lebanon St
Lebanon, IN 46052-1476
Phone (765) 485-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201148500 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcarter@withamdirect.org | Health Information Exchange (HIE) | Witham Memorial Hospital |
Other providers in Lebanon, IN
- Cyntoya Campbell
- Cancer Care Group, P.C.
- Chloe Carlson
- Kaylei Carlson
- Lauren Carr
- Cartwright Dental LLC
- Jeff Cartwright
- Thomas Ray Cartwright
- Anahi Castro
- Jarod Ryan Cates
All providers in Lebanon, IN · Hospitalist Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.