MRS. STEPHANYIE KIMBERLY CARTER (APRN) – Family Nurse Practitioner, NPI 1790457935

MRS. STEPHANYIE KIMBERLY CARTER (APRN) is a healthcare provider. based in Burkesville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3016790 (KY). The NPI Number for MRS. STEPHANYIE KIMBERLY CARTER (APRN) is 1790457935

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANYIE KIMBERLY CARTER (APRN)
NPI
1790457935
Phone
(270) 858-6655
Address
PO BOX 1080
Enumeration Date
5 October 2021
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065314100
Graduation Year
2021 (5 years ago)
PAC ID
1557754173
Group Practice PAC ID
6901289628
Professional Enrollment ID
I20220203000678
Address ID
KY425031708SO50XXXDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. STEPHANYIE KIMBERLY CARTER (APRN)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4607

    Type: Mailing

  • 197 WILL WALKER ROAD

    COLUMBIA, KY 427287436

    Phone: (270) 384-9981

    Fax: (270) 384-9989

    Type: Location

  • PO BOX 208

    COLUMBIA, KY 427280208

    Phone: (270) 378-0163

    Type: Mailing

  • 115 E MAIN ST # 115

    CAMPBELLSVILLE, KY 427182237

    Phone: (270) 378-0163

    Type: Location

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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($25).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2022-02-03

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
I20220203000678INurse PractitionerKYTBD

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 42717)

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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: 6901289628View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerKY
Thoracic Surgery, Vascular SurgeryPA
Vascular SurgeryKY
Nurse PractitionerNC
Vascular SurgeryKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. STEPHANYIE KIMBERLY CARTER (APRN)?
MRS. STEPHANYIE KIMBERLY CARTER (APRN) — NPI 1790457935 — is the standard way to identify this listing.
Is MRS. STEPHANYIE KIMBERLY CARTER (APRN) listed as active for patients and plans?
The listing shows MRS. STEPHANYIE KIMBERLY CARTER (APRN) as active in the NPI system.
What is MRS. STEPHANYIE KIMBERLY CARTER (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. STEPHANYIE KIMBERLY CARTER (APRN) here. Clinical services aligned with this taxonomy classification.
What area does MRS. STEPHANYIE KIMBERLY CARTER (APRN) serve?
MRS. STEPHANYIE KIMBERLY CARTER (APRN)'s listing highlights Burkesville, Kentucky; more addresses can appear in NPPES.
Why does MRS. STEPHANYIE KIMBERLY CARTER (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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