Individual provider Active NPI

Kristy L Carter, PA-C

  • Surgical Physician Assistant
  • Richmond, IN
National Provider Identifier
1386881456
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10001055A Issued in IN
Practice address
1434 Chester Blvd
Richmond, IN 47374-1947
Phone
(765) 966-1600
Fax
(765) 962-9641
NPI assigned
Jan 12, 2009
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005531RX OH
Surgical Physician Assistant 363AS0400X 10001055A IN Primary

Addresses

Primary practice location

1434 Chester Blvd
Richmond, IN 47374-1947

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 966-1600

Other names 1

  • Kristy L Carter-McCoy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcarter302462@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20090209000382 IN Practitioner - Physician Assistant 1355406323 Reassigns benefits to 1 organization
I20180502002097 OH Practitioner - Physician Assistant 1355406323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1101 Jackson St
Greenville, OH 45331-1396

1434 Chester Blvd
Richmond, IN 47374-1947
Phone (765) 966-1600

4829 N State Rd
1 Reid Health Prim and Spec Care Hagers
Hagerstown, IN 47346-9620
Phone (765) 489-3935

550 Hallmark Dr
Eaton, OH 45320-8648
Phone (937) 456-4181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005531RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. Physician Assistant CurrentSince Jan 9, 2018 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jan 9, 2018 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1434 Chester Blvd
Richmond, IN 47374
Phone (765) 966-1600

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

1101 Jackson St
Ste D
Greenville, OH 45331
Phone (937) 316-1300

Interoperability endpoints

  • Direct secure messaging: kcarter302462@reidhealth.direct-ci.com

Organizations & group practices 2

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.

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1386881456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-966-1600",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741947",
            "telephone_number": "765-966-1600",
            "fax_number": "765-962-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005531RX",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcarter302462@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1434 Chester Blvd",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "CARTER-MCCOY",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.