MCKENZIE R CARTER (PA) – Physician Assistant, NPI 1336823715

MCKENZIE R CARTER (PA) is a healthcare provider. based in Cranston, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MCKENZIE R CARTER (PA) is 1336823715

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE R CARTER (PA)
NPI
1336823715
Phone
(401) 585-8500
Address
2220 PLAINFIELD PIKE
Enumeration Date
14 June 2023
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4015858500
Graduation Year
2023 (3 years ago)
PAC ID
0840653895
Group Practice PAC ID
4284969643
Professional Enrollment ID
I20230824000918
Address ID
RI029212031CR2220XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:2State licenses:0Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for MCKENZIE R CARTER (PA)

  • 2220 PLAINFIELD PIKE

    CRANSTON, RI 029212031

    Phone: (401) 585-8500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $771.

Total Amount is formed as General ($771) + Research ($0) + Ownership ($0) = $771.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($137).

Total Amount

$771

General + Research + Ownership

Payments

37

Total payment records

General Amount

$771

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2023-08-24

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
I20230824000918IPhysician AssistantRITBD

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 minutes5441$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1313$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 02921)

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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: 4284969643View full group profile
NameSpecialtyState
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

Can I verify MCKENZIE R CARTER (PA) with an NPI only?
You can start verification with NPI 1336823715 for MCKENZIE R CARTER (PA), then check state licensing separately.
Is MCKENZIE R CARTER (PA) listed as active for patients and plans?
The listing shows MCKENZIE R CARTER (PA) as active in the NPI system.
What taxonomy line describes MCKENZIE R CARTER (PA)?
For research purposes, treat MCKENZIE R CARTER (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MCKENZIE R CARTER (PA) on a map?
Expect Cranston, Rhode Island as a primary anchor for MCKENZIE R CARTER (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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