KERRY CARROLL (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1871027904

KERRY CARROLL (NP) is a healthcare provider. based in Tumwater, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 810971 (TX). The NPI Number for KERRY CARROLL (NP) is 1871027904

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KERRY CARROLL (NP)
NPI
1871027904
Phone
(360) 943-1907
Address
3285 FERGUSON ST SW
Enumeration Date
14 April 2017
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175389971
Graduation Year
2017 (9 years ago)
PAC ID
3173888369
Group Practice PAC ID
2365450202
Professional Enrollment ID
I20180516002727
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for KERRY CARROLL (NP)

  • 3285 FERGUSON ST SW

    TUMWATER, WA 985126143

    Phone: (360) 943-1907

    Fax: (360) 943-1907

    Type: Mailing

  • Joe Dimaggio Boulevard, Round Rock, Williamson County, Texas, 78664, United States

    ROUND ROCK, TX 786653991

    Phone: (512) 271-1821

    Fax: (512) 682-7953

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $8,305.

Total Amount is formed as General ($8,305) + Research ($0) + Ownership ($0) = $8,305.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($7,842).

Total Amount

$8,305

General + Research + Ownership

Payments

20

Total payment records

General Amount

$8,305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2021-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180516002727INurse PractitionerTXTBD
I20210608003469INurse PractitionerWATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes19524$0
99315Nursing facility discharge day management, 30 minutes or less1412$0
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 98512)

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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: 2365450202View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to KERRY CARROLL (NP)?
The federal identifier for KERRY CARROLL (NP) is NPI 1871027904.
Is KERRY CARROLL (NP) active in the national directory?
KERRY CARROLL (NP)'s public NPI profile is in an active state.
What does KERRY CARROLL (NP) treat or focus on?
Patients typically see KERRY CARROLL (NP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KERRY CARROLL (NP)?
The snapshot lists Tumwater, Washington for KERRY CARROLL (NP); download NPPES for the complete set.
What if Tumwater, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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