Individual provider Active NPI

Carissa Renee Maslanka, FNP-C

  • Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1306676192
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1170666 Issued in TX
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 670-2000
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 1170666 TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

187 Bella Vista LN
Tuscola, TX 79562-3674
Phone (281) 636-6314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000340 TX Practitioner - Nurse Practitioner 8022557032 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Sep 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Sep 1, 2024 Accepting new patients

Locations

1904 Pine St
Ste 3A
Abilene, TX 79601
Phone (325) 670-6180

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

Interoperability endpoints

  • Direct secure messaging: carissa.maslanka.1@21794.direct.athenahealth.com

Organizations & group practices 2

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1306676192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BELLA VISTA LN",
            "city": "TUSCOLA",
            "state": "TX",
            "postal_code": "795623674",
            "telephone_number": "281-636-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLANKA",
        "first_name": "CARISSA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1170666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.