MRS. KRISTA N. CARTER PA-C
NPI 1043622277
Physician Assistant in O Fallon, MO
NPI Status: Active since May 22, 2014
Contact Information
7068 S OUTER 364
O FALLON, MO
ZIP 63368
Phone: (636) 240-6100
Fax: (636) 240-1182
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About KRISTA CARTER
This page provides the complete NPI Profile along with additional information for Krista Carter, a primary care provider established in O Fallon, Missouri with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1043622277 assigned on May 2014. The practitioner's primary taxonomy code is 363A00000X with license number 2015009297 (MO). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1043622277
- Provider Name
- MRS. KRISTA N. CARTER PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7068 S OUTER 364 O FALLON, MO 63368
- Location Phone
- (636) 240-6100
- Location Fax
- (636) 240-1182
- Mailing Address
- 401 N MICHIGAN AVE SUITE 1200 CHICAGO, IL 60611
- Mailing Phone
- (312) 635-0973
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2014
- Last Update Date
- 11-03-2015
- Code Navigator
A primary care provider (PCP) like Krista Carter sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2015009297
- License State
- MO
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 10001633A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2015009297 | OTHER (01) | MO | STATE LICENSE |
| 2015009297 | OTHER (01) | MO | LICENSE NO |
| MA5459004 | MEDICARE UPIN (02) | MO |
Medicare Participation & PECOS Enrollment Status
Krista Carter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 414 times for 168 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 335 times for 149 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 165 times for 145 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63368 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.32
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $21.58
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.5
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 6 | 2 | 2 | 2 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 12 | 2 | 4 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 2 + 2 + 4 + 2 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1043622277 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942295803 | DELMAR GARDENS OF O'FALLON, LLC Organization | Skilled Nursing Facility | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1003517681 | JENNIFER SUSANN ADKINS COTA Individual | Occupational Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1114628997 | TATYANA KRINITSKIY Individual | Occupational Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1265134910 | ERIC ANTHONY GORDON Individual | Physical Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1306547591 | MARY KATHRYN PETERS OTA/L Individual | Occupational Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1568163079 | REGINA STRUEMPH Individual | Physical Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1598464679 | NIKKEIA DENISE MITCHELL DPT Individual | Physical Therapist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1598464844 | CHERYL ANN OCONNELL Individual | Physical Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1609576438 | RACHEL FAWCETT Individual | Occupational Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1649970179 | MS. KIMBERLY ALICE LAMZIK PT Individual | Physical Therapist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1730883703 | ANGIE L SELLERS Individual | Physical Therapist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1861194318 | MISS ANDREA PATRICIA MCCANN Individual | Occupational Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1992405302 | MRS. SHANNON RAYE RODERIQUE LPTA Individual | Physical Therapy Assistant | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1073202149 | MADISON M WEST Individual | Speech-Language Pathologist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1255103792 | ICHCHHA SHARMA Individual | Physical Therapist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1184483851 | HANNAH RENEE HEDRICK OTR/L Individual | Occupational Therapist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1962231753 | EMMA TAYLOR RODGERS Individual | Speech-Language Pathologist | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
| 1477909166 | JULIA SLAVIK Individual | Nurse Practitioner (Gerontology) | 7068 S OUTER 364 O FALLON, MO 63368 (636) 240-6100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043622277, enumerated in the NPI registry as an "individual" on May 22, 2014
The provider is located at 7068 S Outer 364 O Fallon, Mo 63368 and the phone number is (636) 240-6100
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.32 with an average copayment of $21.58 for new patient appointments. Established patients should expect a typical charge of $69.5 and an average copayment of 17.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes and Follow-up nursing facility visit per day, typically 35 minutes.
This NPI record was last updated on May 22, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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