Active NPI
Robert Trent Carter, APRN, FNP, CARN-AP
- Family Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 64457
- Practice address
- 207 N Union Ave Ste E
Roswell, NM 88201-3068 - Phone
- (575) 363-3189
- NPI assigned
- Jul 12, 2021
- Last updated
- May 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 64457 | NM | |
| Family Nurse Practitioner | 363LF0000X | 64457 | NM | Primary |
Addresses
Primary practice location
207 N Union Ave Ste E
Roswell, NM 88201-3068
Mailing address
207 N Union Ave Ste E
Roswell, NM 88201-3068
Phone (575) 363-3189
Other practice location 1
107 High Loop Dr
Ruidoso, NM 88345-7822
Phone (940) 399-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, MI
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
207 N Union Ave
Suite E
Roswell, NM 88201-3068
Phone (575) 363-3189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillar Recovery Services | Family | Current | Accepting new patients |
| Renew Health LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients |
Locations
43663 Michigan Ave
Canton, MI 48188
Phone (517) 225-4483
1900 10th St
Alamogordo, NM 88310
Phone (575) 437-7404
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
809 Parkland Dr
Ste B
Clovis, NM 88101
Phone (575) 363-3189
207 N Union Ave
Ste E
Roswell, NM 88201
Phone (575) 363-3189
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- renewhealth.trentcarter@151382.advancedmd-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Canton, MI
- NPI 1275323255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1346812245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N UNION AVE STE E",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882013068",
"telephone_number": "575-363-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N UNION AVE STE E",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882013068",
"telephone_number": "575-363-3189"
}
],
"practiceLocations": [
{
"address_1": "107 High Loop Dr",
"address_purpose": "LOCATION",
"city": "Ruidoso",
"state": "NM",
"postal_code": "883457822",
"country_code": "US",
"telephone_number": "940-399-6165",
"fax_number": "575-363-3188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "ROBERT",
"middle_name": "TRENT",
"name_prefix": "Mr.",
"credential": "APRN, FNP, CARN-AP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "64457",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "64457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
- Julianna Carrillo
- Karen Lynne Carson, M.D.
- Barry C Carter, O.D.
- Corey A Carter, S.A.
- Michele Leigh Carter, DDS
- Casa Maria Healthcare LLC
- Casa Maria of New Mexico LLC (Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites)
- Case Anesthesia, PC (DBA Gerard Desjardins, CRNA)
- Kyra Rhea Anne Cash
- Katherine Castillo, LSAA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.