KENZIE CARPENTER (AGACNP,RNFA) – Nurse Practitioner, NPI 1811461908

KENZIE CARPENTER (AGACNP,RNFA) is a healthcare provider. based in Fortson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP,RNFA. They hold a License No. 55 (TN). The NPI Number for KENZIE CARPENTER (AGACNP,RNFA) is 1811461908

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KENZIE CARPENTER (AGACNP,RNFA)
NPI
1811461908
Phone
Not provided
Address
PO BOX 370
Enumeration Date
11 January 2019
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153426905
Graduation Year
2018 (8 years ago)
PAC ID
2365784790
Group Practice PAC ID
6800079963
Professional Enrollment ID
I20190503000922
Address ID
TN372031575NA2400XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

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Provider Addresses for KENZIE CARPENTER (AGACNP,RNFA)

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Fax: (706) 494-3008

    Type: Mailing

  • Dickerson Pike, East Nashville, Nashville, Davidson County, Tennessee, 37072, United States

    NASHVILLE, TN 372072533

    Phone: (615) 860-1580

    Fax: (615) 860-1541

    Type: Location

  • 2400 PATTERSON ST STE 400

    NASHVILLE, TN 372031575

    Phone: (615) 342-7440

    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: 2019-05-03

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
I20190503000922INurse PractitionerTNTBD

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
99238Hospital discharge day management, 30 minutes or less3836$0
View full utilization report →

Insurance plans in this area (ZIP 31808)

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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: 6800079963View full group profile
NameSpecialtyState
Cardiac SurgeryTN
Nurse PractitionerTN
Thoracic Surgery, General SurgeryTN
O T O L A R Y N G O L O G YTN
-TN
Pulmonary Disease, Internal MedicineTN
-TN
Physician AssistantTN
Internal MedicineTN
Plastic And Reconstructive SurgeryTN

Reviews

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Frequently asked questions

Can I verify KENZIE CARPENTER (AGACNP,RNFA) with an NPI only?
You can start verification with NPI 1811461908 for KENZIE CARPENTER (AGACNP,RNFA), then check state licensing separately.
Does CMS list KENZIE CARPENTER (AGACNP,RNFA) as active?
Yes — KENZIE CARPENTER (AGACNP,RNFA) is active in the NPI listing used on this page.
What is KENZIE CARPENTER (AGACNP,RNFA) best known for clinically?
Directory data describes KENZIE CARPENTER (AGACNP,RNFA) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KENZIE CARPENTER (AGACNP,RNFA) list a practice location?
Patients near Fortson, Georgia may find KENZIE CARPENTER (AGACNP,RNFA) in results; validate coverage separately.
Is the information about KENZIE CARPENTER (AGACNP,RNFA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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