Active NPI
Mareesha Ante Carter, FNP-C
- Family Nurse Practitioner
- Ballwin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2024029585
- Practice address
- 13861 Manchester Rd
Ballwin, MO 63011-4503 - Phone
- (314) 482-7547
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024029585 | MO | Primary |
Addresses
Primary practice location
13861 Manchester Rd
Ballwin, MO 63011-4503
Mailing address
13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (636) 556-0114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite City Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Waterloo Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Chestnut Health of Illinois LLC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Tauc Il, PC | Current | Accepting new patients | |
| Belleville Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Wood River Urgent Care and Walk in Clinic Inc | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Alton Urgent Care Walk in Clinic Company | Current | Accepting new patients |
Locations
1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320
2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053
404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322
2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723
1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703
907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200
211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1588043939
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
- Family Medicine Physician
- Alton, IL
- NPI 1013521343
-
- Family Medicine Physician
- Belleville, IL
- NPI 1225694946
-
- Urgent Care Clinic/Center
- Granite City, IL
- NPI 1659861953
-
- Urgent Care Clinic/Center
- Collinsville, IL
- NPI 1487401709
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1508471418
-
- Family Medicine Physician
- Wood River, IL
- NPI 1427717438
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1285463133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13861 MANCHESTER RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114503",
"telephone_number": "636-556-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13861 MANCHESTER RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114503",
"telephone_number": "314-482-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MAREESHA",
"middle_name": "ANTE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2024029585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.