CHARLES KEITH CARPENTER (NP) – Family Nurse Practitioner, NPI 1497085963
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for CHARLES KEITH CARPENTER (NP)
4000 WELLNESS DR
MIDLAND, MI 486702483
Phone: (844) 832-1956
Type: Location
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 624-1575
Fax: (989) 624-1507
Type: Mailing
4175 N EUCLID AVE STE 3
BAY CITY, MI 487062483
Phone: (989) 667-0491
Fax: (989) 667-0493
Type: Location
PO BOX 3272
SAGINAW, MI 486053272
Phone: (989) 797-1400
Fax: (989) 797-4077
Type: Mailing
9900, Birch Run Road, Village of Birch Run, Birch Run Township, Saginaw County, Michigan, 48415, United States
BIRCH RUN, MI 484159609
Phone: (989) 624-1575
Fax: (989) 624-1506
Type: Location
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: 2018-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181112002053 | I | Nurse Practitioner | MI | TBD |
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.
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 48670)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI |
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