Individual provider Active NPI

Sue A Carter, NP

  • Family Nurse Practitioner
  • Skowhegan, ME
National Provider Identifier
1851548846
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221014 Issued in ME
Practice address
46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481
Phone
(207) 474-0905
Fax
(207) 474-6930
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.10165 OH
Family Nurse Practitioner 363LF0000X CNP221014 ME Primary

Addresses

Primary practice location

46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481

Mailing address

30 W McCreight Ave
Ste 208
Springfield, OH 45504-1853
Phone (937) 328-7266

Other practice location 1

2665 Derr Rd
Springfield, OH 45503-2445
Phone (937) 328-7266

Other identifiers 2

IdentifierTypeStateIssuer
2922145MedicaidOH
1851548846MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ME2 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
I20101008000682 OH Practitioner - Nurse Practitioner 5799977781
I20230815001802 ME Practitioner - Nurse Practitioner 5799977781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Sep 5, 2023 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Apr 1, 2016 Accepting new patients
Redington-Fairview General Hospital CurrentSince Sep 5, 2023 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Apr 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Past Accepting new patients

Locations

46 Fairview Ave
Ste 111
Skowhegan, ME 04976
Phone (207) 474-3320

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

200 W Ward St
Lowr
Springfield, OH 45504
Phone (937) 327-7811

2665 Derr Rd
Springfield, OH 45503
Phone (937) 342-9801

30 W McCreight Ave
Ste 208
Springfield, OH 45504
Phone (937) 323-1187

900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666

Organizations & group practices 6

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1851548846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "STE 208",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-328-7266",
            "fax_number": "937-328-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE STE 111",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-0905",
            "fax_number": "207-474-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 DERR RD",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032445",
            "country_code": "US",
            "telephone_number": "937-328-7266",
            "fax_number": "937-328-5276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.10165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2922145",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851548846",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.