Individual provider Active NPI

Kendal R. Carpenter, PA-C

  • Physician Assistant
  • Terre Haute, IN
National Provider Identifier
1942862875
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1739 N 4TH St
Terre Haute, IN 47804-4002
Phone
(812) 242-3125
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1739 N 4TH St
Terre Haute, IN 47804-4002

Mailing address

1739 N 4TH St
Terre Haute, IN 47804-4002
Phone (812) 242-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001683 IN Practitioner - Physician Assistant 7012246077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Jul 1, 2020 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jul 1, 2020 Accepting new patients
Union Hospital Inc CurrentSince Sep 23, 2019 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Hospital, Inc. CurrentSince Sep 23, 2019 Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1739 N 4th St
Terre Haute, IN 47804
Phone (812) 235-3024

Interoperability endpoints

  • Direct secure messaging: kecarpenter@unionhealth.cernerdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1942862875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044002",
            "telephone_number": "812-242-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044002",
            "telephone_number": "812-242-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KENDAL",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.