DAVID CARR – Psychiatric/Mental Health Nurse Practitioner, NPI 1417614181

DAVID CARR is a healthcare provider. based in La salle, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 2022013042 (OH). The NPI Number for DAVID CARR is 1417614181

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DAVID CARR
NPI
1417614181
Phone
(815) 224-1610
Address
2960 CHARTRES ST
Enumeration Date
17 November 2021
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152230160
Graduation Year
2022 (4 years ago)
PAC ID
0143696641
Group Practice PAC ID
5294625208
Professional Enrollment ID
I20251001004156
Address ID
IL613011031LA2960XSTXX300

Contacts

Secure Messaging
carrdn@outlook.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:4State licenses:3Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DAVID CARR

  • 2960 CHARTRES ST

    LA SALLE, IL 613011031

    Phone: (815) 224-1610

    Type: Location

  • 340 S Broadway St

    Akron, OH 443081529

    Phone: (330) 253-3100

    Type: Location

  • 340 S BROADWAY ST

    AKRON, OH 443081529

    Phone: (330) 253-3100

    Type: Location

  • 3413 BEAVER TRL APT D

    AURORA, OH 442028523

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($79).

Total Amount

$104

General + Research + Ownership

Payments

2

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

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: 2025-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221025002842INurse PractitionerOHTBD
I20251001004156INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2314$0
View full utilization report →

Insurance plans in this area (ZIP 61301)

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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: 5294625208View full group profile

Reviews

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Frequently asked questions

How is DAVID CARR identified in CMS data?
CMS-hosted NPPES data lists DAVID CARR with NPI 1417614181.
Is DAVID CARR listed as active for patients and plans?
The listing shows DAVID CARR as active in the NPI system.
What is DAVID CARR's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for DAVID CARR here. Clinical services aligned with this taxonomy classification.
Does DAVID CARR list a practice location?
Patients near La Salle, Illinois may find DAVID CARR in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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