Individual provider Active NPI

Patricia Carter, PMHNP,APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1760009005
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5015983 Issued in NC
Practice address
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone
(704) 360-3637
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 24038 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015983 NC Primary

Addresses

Primary practice location

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544

Mailing address

3917 Edgeview Dr
Indian Trail, NC 28079-5518
Phone (704) 787-6162

Other practice location 1

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700 ext. 3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20201001000402 SC Practitioner - Nurse Practitioner 0840619441 Reassigns benefits to 3 organizations
I20220727000545 NC Practitioner - Nurse Practitioner 0840619441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rebound Behavioral Health LLCGroup PAC ID 2062656747, 8 clinicians
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

855 Sam Newell Rd
Suite 100
Matthews, NC 28105-7593
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015983NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wealth Services, PLLC Psychiatric/Mental Health CurrentSince Jun 23, 2025 Accepting new patients
Rebound Behavioral Health, LLC CurrentSince Sep 15, 2020 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 14, 2024 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

134 E Rebound Rd
Lancaster, SC 29720
Phone (803) 313-3700

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.patriciacarter@146232.advancedmd-direct.com

Organizations & group practices 5

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1760009005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 EDGEVIEW DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795518",
            "telephone_number": "704-787-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 E Rebound Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297207712",
            "country_code": "US",
            "telephone_number": "803-313-3700 x3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PATRICIA",
        "credential": "PMHNP,APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "24038",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.