Courtney Anne Carpenter, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

V1424 Issued in TX

Practice address

200 University Ave E
Saint Paul, MN 55101-2507

Phone

(651) 602-3277

NPI assigned

Jul 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MN, TX, NJ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Plastic and Reconstructive Surgery

Education

University of Massachusetts Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Plastic Reconstructive and Microsurgical Associates of South Texas PLLGroup PAC ID 9436112232, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.carpenter.p1@direct.prmaplasticsurgery.nextgenshare.com

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.

• Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1063405504
  Medicare reassignment Care Compare group NPD
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Professional Services

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1225119175
  Medicare reassignment NPD
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  Medicare reassignment NPD
• The Plastic Surgery Center

  dba The Plastic Surgery Center, PA

  • Plastic and Reconstructive Surgery Physician
  • Red Bank, NJ
  • NPI 1386613834

  Plastic Surgery

  Medicare reassignment NPD
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1982090528
  NPD
• Albany Medical College

  dba Albany Med EmUrgent Care

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  dba Albany Medical College Department of Medicine

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248
  NPD
• Albany Medical College

  dba Albany Medical College Dept of Surgery

  • General Practice Physician
  • Albany, NY
  • NPI 1548290455

  Plastic Surgery

  NPD
• Albany Medical College

  dba Albany Medical College Dept of PM&R

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
  • NPI 1629008537
  NPD
• Albany Medical College

  dba Alabany Medical College Dept of Anesthesia

  • Anesthesiology Physician
  • Albany, NY
  • NPI 1841226594
  NPD
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Specialty Healthcare Pharmacy

  • Institutional Pharmacy
  • Saint Paul, MN
  • NPI 1386758373
  NPD (past)

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

• Methodist Healthcare System of San Antonio LTD LLP

  dba Methodist Hospital Stone Oak

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Metropolitan Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Specialty and Transplant Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021
  Care Compare affiliation

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1255629911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421605",
            "telephone_number": "404-785-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012507",
            "telephone_number": "651-602-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "274465",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "074258",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "71684",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "V1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige E Carman, PT
• Gayle Shannon Carney, LSW
• Caron Chiropractic Clinic, P.a.
• Martin August Caron, D.C.
• Matthew Requa Caron, D.C.
• Fred William Carpenter, DDS
• Danielle Lisa Marie Carr, M.A., LPC
• Mary E Carr, MD
• Richard J Carr, MD
• Luis Felipe Carrazana Suarez, M.D.

• Plastic and Reconstructive Surgery Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Plastic and Reconstructive Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.