KATHLEEN ROSE MARKS CARPENTER — NPI 1518856772 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant in MELBOURNE, FL)

CMS-1500 Box 24J / 33a • NPI

1518856772

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367H00000X (CMS 32)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant

Box 32 Service Location & ZIP+4

1350 HICKORY ST, MELBOURNE, FL, 32901-3224

✓ 9-Digit EDI 837 ZIP+4 (32901-3224)

Practice Phone & Referral Fax

(321) 327-3540

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1518856772 (KATHLEEN ROSE MARKS CARPENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1518856772` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHLEEN ROSE MARKS CARPENTER
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant NUCC Code: `367H00000X` (Anesthesiologist Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1350 HICKORY ST, MELBOURNE, FL, 32901-3224
Practice Telephone / Fax	Tel: (321) 327-3540
Administrative Mailing Address	2105 N HIGHWAY A1A, INDIALANTIC, FL, 32903-2512
Enumeration & Last Sync	Enumerated: 2025-07-01 \| CMS Record Updated: 2025-07-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1350 HICKORY ST, MELBOURNE, FL, 32901-3224

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Plain-English Taxonomy & CMS Crosswalk (367H00000X)

What Does Taxonomy Code 367H00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367H00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 32 (Anesthesiology Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Anesthesiologist Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHLEEN ROSE MARKS CARPENTER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367H00000X` — Anesthesiologist Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KATHLEEN ROSE MARKS CARPENTER (NPI #1518856772)