Individual provider Active NPI

Michelle L. Carter, APN, NPA, RN

  • Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1114015302
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002227 Issued in IN
Practice address
322 N Main St
Kokomo, IN 46901-4622
Phone
(765) 453-8555
Fax
(765) 453-8114
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 71002227B APN CSR IN
Nurse Practitioner 363L00000X 71002227 IN Primary

Addresses

Primary practice location

322 N Main St
Kokomo, IN 46901-4622

Mailing address

6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561

Other identifiers 3

IdentifierTypeStateIssuer
28116710AOtherINRN
71002227AOtherINNURSE PRACTITIONER AUTHOR
71002227BOtherINAPN CSR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcarter214116@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070615000317 IN Practitioner - Nurse Practitioner 3274429501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Howard Regional Health IncGroup PAC ID 5890769988, 16 clinicians

Practice addresses (Care Compare)

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8547

Hospital & facility affiliations

  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007

Merit-based Incentive Payment System (MIPS)

Final score
99.35 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71002227INMDNurse Practitioner
71002227B APN CSRINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Sep 7, 2022 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Howard Regional Health Inc CurrentSince Apr 19, 2015 Accepting new patients
Mending Minds, LLC PastSince Mar 1, 2022 Accepting new patients
Community Howard Regional Health, Inc Past Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

3125 S Scatterfield Rd
Ste 200
Anderson, IN 46013
Phone (765) 298-4600

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mcarter214116@ecommunitydirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114015302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014622",
            "telephone_number": "765-453-8555",
            "fax_number": "765-453-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "credential": "APN, NPA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71002227B APN CSR",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "28116710A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER AUTHOR",
            "identifier": "71002227A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN CSR",
            "identifier": "71002227B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarter214116@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "322 N Main St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.