Active NPI
Lucas James Carter, PA-C
- Physician Assistant
- Saint Albans, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 055-0031332
- Practice address
- 260 Crest Rd
Suite 103
Saint Albans, VT 05478-9503 - Phone
- (802) 524-8911
- Fax
- (802) 524-1265
- NPI assigned
- Feb 9, 2017
- Last updated
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0031332 | VT | Primary |
Addresses
Primary practice location
260 Crest Rd
Suite 103
Saint Albans, VT 05478-9503
Mailing address
260 Crest Rd
Suite 103
Saint Albans, VT 05478-9503
Phone (802) 524-8911
Other practice location 1
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 371-4264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Fairfield St
Saint Albans, VT 05478-1726
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0031332 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Past | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743
927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223
260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064
260 Crest Rd
Ste 103
Saint Albans, VT 05478
Phone (802) 524-8911
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
dba Central Vermont Hospital
- Internal Medicine Physician
- Berlin, VT
- NPI 1831374362
-
dba Northwestern Family Birth Center
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
-
dba Northwestern Medical Center (ED)
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medical Center
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1821536871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CREST RD",
"address_2": "SUITE 103",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054789503",
"telephone_number": "802-524-8911",
"fax_number": "802-524-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CREST RD",
"address_2": "SUITE 103",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054789503",
"telephone_number": "802-524-8911",
"fax_number": "802-524-1265"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd Unit 1",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056028132",
"country_code": "US",
"telephone_number": "802-371-4264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "LUCAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.