Jill Ann Carter, DNP, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201392160NP-PP Issued in OR

Practice address

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137

Phone

(503) 447-3285

Fax

(503) 917-4971

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest IV LLCGroup PAC ID 7214277383, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northwest IV, LLC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023596541
  Medicare reassignment Care Compare group
• Evolve Health NV Carter PLLC

  • Nurse Practitioner
  • Vancouver, WA
  • NPI 1962195206
  NPD Authorized official
• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment
• Legacy Clinics LLC

  • Rural Health Clinic/Center
  • Sandy, OR
  • NPI 1730472192
  NPD
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1801564141
  NPD
• Columbia Medical Clinic PC

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1184785842
  NPD (past)
• Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1316723711
  NPD (past)
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1225619703
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1700211513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "971-358-9292",
            "fax_number": "503-917-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "503-447-3285",
            "fax_number": "503-917-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 NW Shevlin Park Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977037134",
            "country_code": "US",
            "telephone_number": "541-728-2525",
            "fax_number": "503-917-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 SE Lake Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972222137",
            "country_code": "US",
            "telephone_number": "503-447-3285",
            "fax_number": "503-917-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16100 NW Cornell Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067361",
            "country_code": "US",
            "telephone_number": "971-405-9545",
            "fax_number": "888-850-5616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16100 NW Cornell Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970068104",
            "country_code": "US",
            "telephone_number": "971-405-5960",
            "fax_number": "971-405-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60411729",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "096000794RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00129629",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201392160NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201392160NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Y Carter, AU.D.
• Emily Hawkins Carter, MD, MPH
• Emily Tyne Carter
• Frances Margaret Carter, L.M.T
• Hans W Carter
• John Hitchings Carter, M.D., PH.D
• Julie Hawkins Carter, ANP
• Katie Carter
• Kevin J Carter
• Keziah Joy Carter, LMT

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.

Verify at the official NPI Registry.