LISA YVONNE CARTER (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174829634

LISA YVONNE CARTER (APN) is a healthcare provider. based in Benton, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. R68406 (AR). The NPI Number for LISA YVONNE CARTER (APN) is 1174829634

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LISA YVONNE CARTER (APN)
NPI
1174829634
Phone
(501) 326-6720
Address
112 PEARSON
Enumeration Date
1 February 2011
Last Update Date
30 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016233477
Graduation Year
2010 (16 years ago)
PAC ID
2264617539
Group Practice PAC ID
6204885304
Professional Enrollment ID
I20110502000187
Address ID
AR719013406HO310XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for LISA YVONNE CARTER (APN)

  • 112 PEARSON

    BENTON, AR 720154436

    Phone: (501) 326-6720

    Fax: (501) 778-0450

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,192.

Total Amount is formed as General ($1,192) + Research ($0) + Ownership ($0) = $1,192.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($312).

Total Amount

$1,192

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110502000187INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8732$0
90792Psychiatric diagnostic evaluation with medical services1313$0
View full utilization report →

Insurance plans in this area (ZIP 72015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204885304View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-MO
Clinical Social WorkerAR
Mental Health CounselorAR
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
P S Y C H I A T R YAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

What federal number belongs to LISA YVONNE CARTER (APN)?
The federal identifier for LISA YVONNE CARTER (APN) is NPI 1174829634.
Is LISA YVONNE CARTER (APN) currently active in the NPI registry?
CMS-published data lists LISA YVONNE CARTER (APN) as an active registrant.
What kind of provider is LISA YVONNE CARTER (APN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for LISA YVONNE CARTER (APN). Clinical services aligned with this taxonomy classification.
Where does public data place LISA YVONNE CARTER (APN)?
The snapshot lists Benton, Arkansas for LISA YVONNE CARTER (APN); download NPPES for the complete set.
What if Benton, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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