Mareesha Ante Carter, FNP-C
Nurse Practitioner, Family in O Fallon, IL. Individual provider (NPI-1).
NPI number1285463133
StatusActive
Last updated in NPPESNov 5, 2026
Details
- NPI
- 1285463133
- Entity type
- Individual (NPI-1)
- Name
- Mareesha Ante Carter
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Nov 5, 2026
- Last updated
- Nov 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209030164 | IL | Yes |
Practice location
3 Saint Elizabeth BlvdO Fallon, IL 62269-1281
Phone 618-641-5803
Mailing address
3 Saint Elizabeth BlvdO Fallon, IL 62269-1281
Phone 618-641-5803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Family Nurse Practitioner providers in O Fallon · All 1,289 providers in O Fallon
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