Individual provider Active NPI

Robert Trent Carter, APRN, FNP, CARN-AP

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1346812245
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64457 Issued in NM
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220520002192 NM Practitioner - Nurse Practitioner 8123405636 Reassigns benefits to 2 organizations
I20250813002743 MI Practitioner - Nurse Practitioner 8123405636 Reassigns benefits to 1 organization

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
Renew Health LLCGroup PAC ID 7214314723, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Pillar Recovery Services Family CurrentSince Jun 11, 2025 Accepting new patients
Renew Health LLC Addiction (Substance Use Disorder) CurrentSince Feb 11, 2022 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.