Individual provider Active NPI

Carlissa Marie Evans, N.P.

  • Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1104114727
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
800411 Issued in TX
Practice address
1715 Texoma Pkwy
Sherman, TX 75090-2613
Phone
(903) 487-0477
Fax
(903) 486-9844
NPI assigned
Jul 17, 2011
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 800411 TX Primary
Family Nurse Practitioner 363LF0000X 800411 TX
Gerontology Nurse Practitioner 363LG0600X 800411 TX

Addresses

Primary practice location

1715 Texoma Pkwy
Sherman, TX 75090-2613

Mailing address

10300 N Central Expy
Dallas, TX 75231-8600
Phone (469) 634-1800

Other identifiers 1

IdentifierTypeStateIssuer
288256502MedicaidTX

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
I20111215000277 TX Practitioner - Nurse Practitioner 4183899479 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
800411TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iah of Texas, PLLC CurrentSince Jan 12, 2015 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 12, 2015 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 12, 2015 Accepting new patients

Locations

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1104114727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "469-634-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TEXOMA PKWY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902613",
            "telephone_number": "903-487-0477",
            "fax_number": "903-486-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CARLISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "800411",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "800411",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "800411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288256502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.