Individual provider Active NPI

Mary Cherie Hulse, NP-C

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1073199451
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1032625 Issued in TX
Practice address
2408 Warwick Ave
Flower Mound, TX 75028-4615
Phone
(972) 249-6486
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1032625 TX Primary

Addresses

Primary practice location

2408 Warwick Ave
Flower Mound, TX 75028-4615

Mailing address

2408 Warwick Ave
Flower Mound, TX 75028-4615
Phone (972) 249-6486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714003625 TX Practitioner - Nurse Practitioner 9739581612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Care Track Consulting LLCGroup PAC ID 0042582959, 5 clinicians

Practice addresses (Care Compare)

Dallas, TX 75230
Phone (214) 348-7611

Hospital & facility affiliations

  • Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236
  • Sunrise Home Health Services Home health agency, Rockwall, TX, CCN 677158
  • Advanced Home Health Services Home health agency, Irving, TX, CCN 679671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1032625TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Track Consulting LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

5440 Harvest Hill Rd
Dallas, TX 75230
Phone (214) 360-7500

5440 Harvest Hill Rd
Ste 182B
Dallas, TX 75230
Phone (214) 348-7611

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1073199451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WARWICK AVE",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284615",
            "telephone_number": "972-249-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WARWICK AVE",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284615",
            "telephone_number": "972-249-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "MARY",
        "middle_name": "CHERIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1032625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.