DR. KATRINA CARTER (MD) – Family Medicine Physician, NPI 1013994102

DR. KATRINA CARTER (MD) is a healthcare provider. based in Redlands, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A120633 (CA). The NPI Number for DR. KATRINA CARTER (MD) is 1013994102

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATRINA CARTER (MD)
NPI
1013994102
Phone
(909) 794-3682
Address
1600 E CITRUS AVE
Enumeration Date
29 December 2005
Last Update Date
6 February 2020

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2147051200
Graduation Year
2005 (21 years ago)
PAC ID
7012161136
Group Practice PAC ID
8426364688
Professional Enrollment ID
I20211020001999
Address ID
TX750344199FR8380XPKWY303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. KATRINA CARTER (MD)

  • 1600, East Citrus Avenue, Warner, Redlands, San Bernardino County, California, 92374, United States

    REDLANDS, CA 923744270

    Phone: (909) 794-3682

    Type: Location

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-10-20

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
I20211020001999IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92374)

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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: 8426364688View full group profile
NameSpecialtyState
Nurse PractitionerTX
A N E S T H E S I O L O G YTX
Pain Management, AnesthesiologyIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KATRINA CARTER (MD)?
NPI 1013994102 is assigned to DR. KATRINA CARTER (MD) under the national enumeration system.
Does this profile mean DR. KATRINA CARTER (MD) is currently active?
Yes — DR. KATRINA CARTER (MD) appears active in the national provider directory.
What does DR. KATRINA CARTER (MD) treat or focus on?
Patients typically see DR. KATRINA CARTER (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KATRINA CARTER (MD)?
The page summarizes Redlands, California for DR. KATRINA CARTER (MD); expand the address list for detail.
What if Redlands, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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