PHOEBE KITSUM CARPENTER (CNP) – Adult Health Nurse Practitioner, NPI 1639501489
Adult Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for PHOEBE KITSUM CARPENTER (CNP)
447 TIMBERLEA TRL
KETTERING, OH 454291933
Phone: (650) 274-1448
Type: Mailing
4172 INDIAN RIPPLE RD
SUITE A
BEAVERCREEK, OH 454403285
Phone: (937) 431-3779
Fax: (937) 431-3776
Type: Location
415 Byers Rd Ste 300
Miamisburg, OH 453423684
Phone: (937) 866-2494
Fax: (937) 866-8494
Type: Location
4172 Indian Ripple Rd
Suite A
Beavercreek, OH 454403285
Phone: (937) 431-3779
Fax: (937) 431-3776
Type: Location
815 CURTIS PKWY SE
CALHOUN, GA 307013688
Phone: (706) 879-5800
Fax: (706) 625-3207
Type: Location
PO BOX 12938
C/O CLINIC MANAGEMENT
CALHOUN, GA 307037013
Phone: (706) 602-7800
Type: Mailing
415 BYERS RD STE 300
MIAMISBURG, OH 453423684
Phone: (937) 866-2494
Fax: (937) 866-8494
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($122).
Total Amount
$376
General + Research + Ownership
Payments
4
Total payment records
General Amount
$376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-01-09
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 |
|---|---|---|---|---|
| I20250109002368 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| N E U R O S U R G E R Y | GA | |
| Urology, Surgical Oncology | GA | |
| Internal Medicine | GA | |
| General Surgery | GA | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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