Ebony Dominaque Carter, NP-C - Medicare Nurse Practitioner in Cleveland, OH

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Ebony Dominaque Carter, NP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Cleveland, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Services For Homeless Persons, Inc. and her current practice location is 1744 Payne Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 623-6555.

Ebony Dominaque Carter is licensed to practice in Ohio (license number APRN.CNP.0027466) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770905226.

Contact Information

Ebony Dominaque Carter, NP-C
1744 Payne Ave,
Cleveland, OH 44114-2910
(216) 623-6555
Not Available

Map and Direction




Provider's Profile

Full NameEbony Dominaque Carter
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1744 Payne Ave, Cleveland, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ebony Dominaque Carter graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1770905226
  • Provider Enumeration Date: 01/16/2014
  • Last Update Date: 03/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870909252
  • Enrollment ID: I20210309003341

Medical Identifiers

Medical identifiers for Ebony Dominaque Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770905226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.413108 (Ohio)Secondary
164W00000XLicensed Practical Nurse PN138244 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0027466 (Ohio)Secondary
363LG0600XNurse Practitioner - Gerontology APRN.CNP.0027466 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mental Health Services For Homeless Persons, Inc.75172528369

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebony Dominaque Carter allows following entities to bill medicare on her behalf.
Entity NameMental Health Services For Homeless Persons, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639140395
PECOS PAC ID: 7517252836
Enrollment ID: O20160825002505
Entity NameVista Blue Health And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821856394
PECOS PAC ID: 2668912668
Enrollment ID: O20250409003563

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Dominaque Carter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebony Dominaque Carter, NP-C
1744 Payne Ave,
Cleveland, OH 44114-2910

Ph: (216) 623-6555		Ebony Dominaque Carter, NP-C
1744 Payne Ave,
Cleveland, OH 44114-2910

Ph: (216) 623-6555

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.