KERRY B CARR (FNP) – Nurse Practitioner, NPI 1285716746

KERRY B CARR (FNP) is a healthcare provider. based in Jackson, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 16888.0735 (WY). The NPI Number for KERRY B CARR (FNP) is 1285716746

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KERRY B CARR (FNP)
NPI
1285716746
Phone
(307) 739-6195
Address
625 E BROADWAY AVE
Enumeration Date
20 October 2006
Last Update Date
23 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077333636
Graduation Year
1997 (29 years ago)
PAC ID
8527049857
Group Practice PAC ID
4880582295
Professional Enrollment ID
I20051105000328
Address ID
WY830018642JA625XXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
kcarr@sjmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

596 NURSE PRACTITIONER in WY

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Provider Addresses for KERRY B CARR (FNP)

  • 625, Broadway Avenue, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, WY 830018642

    Phone: (307) 739-6195

    Fax: (307) 739-7229

    Type: Location

  • 428, Works Road, Jackson, Waldo County, Maine, United States

    ONCOLOGY DEPARTMENT

    JACKSON, WY 830010428

    Phone: (307) 739-6195

    Fax: (307) 739-7229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $17,170.

Total Amount is formed as General ($17,170) + Research ($0) + Ownership ($0) = $17,170.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15,295).

Total Amount

$17,170

General + Research + Ownership

Payments

45

Total payment records

General Amount

$17,170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2005-11-05

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
I20051105000328INurse PractitionerWYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13264$0
99214Established patient office or other outpatient visit, 30-39 minutes10163$0
99215Established patient office or other outpatient visit, 40-54 minutes4536$0
99212Established patient office or other outpatient visit, 10-19 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 83001)

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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: 4880582295View full group profile
NameSpecialtyState
Emergency MedicineWY
-WY
-WY
Physician AssistantWY
-WY
Certified Registered Nurse Anesthetist (Crna)WY
General SurgeryWY
Physician AssistantUT
General SurgeryID
Qualified AudiologistWY

Reviews

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Frequently asked questions

How do I look up KERRY B CARR (FNP) by NPI?
Use NPI 1285716746 when you need to reference KERRY B CARR (FNP) in forms, claims, or directories.
Is KERRY B CARR (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KERRY B CARR (FNP) work in?
You can think of KERRY B CARR (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KERRY B CARR (FNP)?
The snapshot lists Jackson, Wyoming for KERRY B CARR (FNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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