Stacey A. Carter, NP
Nurse Practitioner, Family (NP) with Revitalize Hydration Therapy LLC, practicing in Jackson, Mississippi. Enrolled in Medicare as practitioner - nurse practitioner. Lists Mississippi Baptist Medical Center as a hospital affiliation. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1528246576 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 1, 2008 |
| Last updated in NPPES | Jun 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R881362 | MS |
| Nurse Practitioner, Family | 363LF0000X | 13075 | TN |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Mississippi, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Stacey Lynn Carter · Nurse/Nurses Aide | 1128b4 | Mar 20, 2007 | Purvis, MS |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Revitalize Hydration Therapy LLCFlowood, MS · 8 clinicians
Hospital affiliation
- Mississippi Baptist Medical CenterJackson, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 499 family nurse practitioners in Jackson · All family nurse practitioners in Mississippi