Individual provider Active NPI

Jennifer Renee Carter, MD

  • Family Medicine Physician
  • Stephens City, VA
National Provider Identifier
1427264639
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35090505 Issued in OH
Practice address
160 Warrior Dr
Stephens City, VA 22655
Phone
(540) 868-4100
Fax
(540) 868-0888
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35090505 OH Primary

Addresses

Primary practice location

160 Warrior Dr
Stephens City, VA 22655

Mailing address

160 Warrior Dr
Stephens City, VA 22655-4044
Phone (540) 868-4100

Other names 1

  • Miss Jennifer Renee Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000832 VA Practitioner - Family Practice 0143393132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stephens City Family Medicine LLCGroup PAC ID 9638125842, 6 clinicians

Practice addresses (Care Compare)

160 Warrior Dr
Stephens City, VA 22655-4044
Phone (540) 868-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35090505OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens City Family Medicine LLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

160 Warrior Dr
Stephens City, VA 22655
Phone (540) 508-4539

Interoperability endpoints

  • Direct secure messaging: jennifercarter@stephenscityfm.medentdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1427264639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554044",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "22655",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35090505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAWKINS",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stephens City, VA

Sources for this page

Verify at the official NPI Registry.