Individual provider Active NPI

Heatherene Hughes Carlisle, MSN, CRNP, FNP-C

  • Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1104536796
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1158233 Issued in TX
Practice address
902 Preskitt Rd Ste 600
Decatur, TX 76234-4120
Phone
(940) 626-8073
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1158233 TX Primary

Addresses

Primary practice location

902 Preskitt Rd Ste 600
Decatur, TX 76234-4120

Mailing address

902 Preskitt Rd Ste 600
Decatur, TX 76234-4120
Phone (940) 626-8073

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
I20240716003251 TX Practitioner - Nurse Practitioner 8628513454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2255 Glades Rd
Suite 228W
Boca Raton, FL 33431-7391

2255 Glades Rd
Suite 228W
Boca Raton, FL 33431-8535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Bahl and Bahl Medical Associates PastSince Dec 1, 2022 Accepting new patients
Arthritis and Rheumatology Specialists, PA PastSince Nov 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heatherene.carlisle.p39@direct.aara1.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1104536796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PRESKITT RD STE 600",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344120",
            "telephone_number": "940-626-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PRESKITT RD STE 600",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344120",
            "telephone_number": "940-626-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "HEATHERENE",
        "middle_name": "HUGHES",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1158233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.