Individual provider Active NPI

Andrea Michelle Carter, MD

  • Family Medicine Physician
  • Moses Lake, WA
National Provider Identifier
1770595282
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00038480 Issued in WA
Practice address
1550 S Pioneer Way Ste 150
Moses Lake, WA 98837-4620
Phone
(509) 793-9780
Fax
(509) 764-3246
NPI assigned
Aug 13, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 MD00038480 WA Primary

Addresses

Primary practice location

1550 S Pioneer Way Ste 150
Moses Lake, WA 98837-4620

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715

Other practice location 1

1550 S Pioneer Way Suite 115
Samaritan Clinic
Moses Lake, WA 98837
Phone (509) 793-9780

Other identifiers 2

IdentifierTypeStateIssuer
8252751MedicaidWA
1018616MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acarter1203462@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100727000645 WA Practitioner - Family Practice 8325171499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1550 S Pioneer Way
Suite 115
Moses Lake, WA 98837-4618

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00038480WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Public Hospital District 1 Family Medicine CurrentSince Jul 28, 2000 Accepting new patients
Grant County Public Hospital District 1 Family Medicine Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jul 28, 2000 Accepting new patients

Locations

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

1550 S Pioneer Way
Ste 115
Moses Lake, WA 98837
Phone (509) 793-9713

1550 S Pioneer Way
Ste 150
Moses Lake, WA 98837
Phone (509) 766-7359

1616 S Pioneer Way
Moses Lake, WA 98837

660 S Coolidge St
Moses Lake, WA 98837

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

8420 Aspi Blvd
Moses Lake, WA 98837
Phone (509) 793-9781

Interoperability endpoints

  • Direct secure messaging: acarter1203462@wm.providencedirect.org

Organizations & group practices 3

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1770595282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY STE 150",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374620",
            "telephone_number": "509-793-9780",
            "fax_number": "509-764-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 S Pioneer Way Suite 115",
            "address_2": "Samaritan Clinic",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "98837",
            "country_code": "US",
            "telephone_number": "509-793-9780",
            "fax_number": "509-764-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00038480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8252751",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018616",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarter1203462@wm.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "EPIC EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 S Pioneer Way Ste 150",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988374620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.