MRS. TRACEY ANN CARPENTER (NP-C) – Nurse Practitioner, NPI 1083166433
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MRS. TRACEY ANN CARPENTER (NP-C)
622, Dartmouth Crest Drive, Dartmouth, Wildwood, Saint Louis County, Missouri, 63011, United States
WILDWOOD, MO 630115433
Phone: (636) 284-0263
Type: Mailing
400, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630173467
Phone: (314) 878-2888
Fax: (314) 576-8167
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 374 Open Payments records for all available years, with a total value of $20,074.
Total Amount is formed as General ($20,074) + Research ($0) + Ownership ($0) = $20,074.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($16,068).
Total Amount
$20,074
General + Research + Ownership
Payments
374
Total payment records
General Amount
$20,074
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16,068 |
| Supernus Pharmaceuticals, Inc. | $639 |
| PFIZER INC. | $610 |
| Boston Scientific Corporation | $444 |
| Abbott Laboratories | $168 |
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: 2016-11-28
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 |
|---|---|---|---|---|
| I20161128000964 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 23,600 | 36 | $0 |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 122 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Physician Assistant | OH | |
| Physician Assistant | MO | |
| N E U R O L O G Y | MO | |
| Physician Assistant | MO | |
| N E U R O L O G Y | MO | |
| N E U R O S U R G E R Y | MO | |
| N E U R O S U R G E R Y | IN | |
| - | MO | |
| - | MO |
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