Individual provider Active NPI

Shenella Latosha Carlisle, CRNP

  • Family Nurse Practitioner
  • Camden, AL
National Provider Identifier
1235641267
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5381050071 Issued in KS
Practice address
550 Ponderosa Dr
Camden, AL 36726-2313
Phone
(334) 213-8803
NPI assigned
Oct 31, 2017
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1121592 AL
Family Nurse Practitioner 363LF0000X 5381050071 KS Primary
Family Nurse Practitioner 363LF0000X 33646 TN
Family Nurse Practitioner 363LF0000X 1074183 TX
Family Nurse Practitioner 363LF0000X 71016016A IN

Addresses

Primary practice location

550 Ponderosa Dr
Camden, AL 36726-2313

Mailing address

PO Box 231396
Montgomery, AL 36123-1396
Phone (334) 213-8803

Other names 1

  • Shenella Carlisle Adams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MO, TX, KS, IL, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20180625002524 AL Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 4 organizations
I20220324002272 MO Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 2 organizations
I20220601001879 TX Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 2 organizations
I20221227001081 KS Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 3 organizations
I20230223000322 IL Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 2 organizations
I20230726002179 TN Practitioner - Nurse Practitioner 8921353400 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1121592ALMDFamily Nurse Practitioner
71016016AINMDFamily Nurse Practitioner
5381050071KSMDFamily Nurse Practitioner
33646TNMDFamily Nurse Practitioner
1074183TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Nov 13, 2017 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Jun 17, 2023 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Aug 23, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Mar 28, 2022 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 31, 2023 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Nov 13, 2017 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Mar 1, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Nov 30, 2021 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 1, 2022 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 31, 2023 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Oct 18, 2022 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations (25 of 27)

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

550 Ponderosa Dr
Camden, AL 36726
Phone (205) 837-5336

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

5100 Indian Creek Pkwy
Shawnee Mission, KS 66207
Phone (913) 544-1957

5701 W 110th St
Shawnee Mission, KS 66211
Phone (816) 374-7567

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-8573

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1235641267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231396",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361231396",
            "telephone_number": "334-213-8803",
            "fax_number": "334-213-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PONDEROSA DR",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367262313",
            "telephone_number": "334-213-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "SHENELLA",
        "middle_name": "LATOSHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1121592",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5381050071",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016016A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENELLA",
            "last_name": "CARLISLE ADAMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, AL

Sources for this page

Verify at the official NPI Registry.