Individual provider Active NPI

Elizabeth Debry Carter, PA

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1457726846
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1450 N Preston Rd Ste 60
Prosper, TX 75078-9890
Phone
(972) 316-4555
Fax
(469) 481-2373
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1450 N Preston Rd Ste 60
Prosper, TX 75078-9890

Mailing address

1450 N Preston Rd Ste 60
Prosper, TX 75078-9890
Phone (972) 316-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20170927000058 NY Practitioner - Physician Assistant 4183998339
I20190110001323 TX Practitioner - Physician Assistant 4183998339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

1450 N Preston Rd
Prosper, TX 75078-9890
Phone (972) 316-4555

152 Brand
Suite 100
Murphy, TX 75094-3717
Phone (972) 316-4555

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1457726846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N PRESTON RD STE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789890",
            "telephone_number": "972-316-4555",
            "fax_number": "469-802-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N PRESTON RD STE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789890",
            "telephone_number": "972-316-4555",
            "fax_number": "469-481-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELIZABETH",
        "middle_name": "DEBRY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.