Casey Furlow, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP130210 Issued in TX

Practice address

5796 E SH-114
Suite 1a
Haslet, TX 76052

Phone

(940) 488-1770

Fax

(940) 488-1771

NPI assigned

Feb 16, 2016

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wise County Medical & Surgical Association

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1891154365

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 24, 2024 through Jun 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Casey Carlisle, Cannon, Meadows Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2024.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1053770263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5796 E SH-114",
            "address_2": "SUITE 1A",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "940-488-1770",
            "fax_number": "940-488-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 E SH-114",
            "address_2": "SUITE 1A",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "940-488-1770",
            "fax_number": "940-488-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURLOW",
        "first_name": "CASEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP130210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "AP130210",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casey@ensodirectcare.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5796 E SH-114",
            "address_2": "Suite 1A",
            "city": "Haslet",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "CARLISLE, CANNON, MEADOWS",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Haslet, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.