ANDREA CARPENTER (FNP-C) – Family Nurse Practitioner, NPI 1780169557

ANDREA CARPENTER (FNP-C) is a healthcare provider. based in Tupelo, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 902761 (MS). The NPI Number for ANDREA CARPENTER (FNP-C) is 1780169557

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA CARPENTER (FNP-C)
NPI
1780169557
Phone
(662) 377-3270
Address
830 S Gloster St
Enumeration Date
27 September 2018
Last Update Date
22 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622827555
Graduation Year
2018 (8 years ago)
PAC ID
9537407606
Group Practice PAC ID
4789917808
Professional Enrollment ID
I20190214002768
Address ID
MS388557145MA3275XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for ANDREA CARPENTER (FNP-C)

  • 830 S Gloster St

    Tupelo, MS 388014934

    Phone: (662) 377-3270

    Fax: (662) 377-4352

    Type: Location

  • 3275 HIGHWAY 371 N

    MANTACHIE, MS 388557145

    Phone: (662) 282-7555

    Fax: (662) 346-7074

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,013.

Total Amount is formed as General ($1,013) + Research ($0) + Ownership ($0) = $1,013.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($323).

Total Amount

$1,013

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,013

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2019-02-14

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
I20190214002768INurse PractitionerMSTBD

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 minutes267120$0
99213Established patient office or other outpatient visit, 20-29 minutes229115$0
36415Insertion of needle into vein for collection of blood sample216105$0
96372Injection of drug or substance under skin or into muscle20464$0
J1100Injection, dexamethasone sodium phosphate, 1 mg19037$0
View full utilization report →

Insurance plans in this area (ZIP 38801)

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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: 4789917808View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

How is ANDREA CARPENTER (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists ANDREA CARPENTER (FNP-C) with NPI 1780169557.
Is ANDREA CARPENTER (FNP-C) still practicing?
ANDREA CARPENTER (FNP-C) is currently listed as active in the public NPI registry.
What healthcare role does ANDREA CARPENTER (FNP-C) hold?
Scheduling teams often label ANDREA CARPENTER (FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANDREA CARPENTER (FNP-C) based?
ANDREA CARPENTER (FNP-C) is tied to Tupelo, Mississippi in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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