Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverly D Carter, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1811764285

Beverly D Carter, REGISTEREDNURSE is a Nurse Practitioner in Broken Arrow, Oklahoma. Qualified in 2025, 1 year ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4022 W Tucson Pl
Broken Arrow, OK 74011-1678
Phone: (918) 896-1232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 224934 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0088364 (OK)

Record details

NPI number1811764285
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedDecember 6, 2023
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Broken Arrow