Individual provider Active NPI

Julie Ann Carroll, FNP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1316601628
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057913 Issued in TX
Practice address
3190 Antilley Rd
Abilene, TX 79606-5006
Phone
(325) 672-5603
Fax
(325) 672-6570
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 787986 TX
Family Nurse Practitioner 363LF0000X 1057913 TX Primary

Addresses

Primary practice location

3190 Antilley Rd
Abilene, TX 79606-5006

Mailing address

1924 Pine St Ste 501
Abilene, TX 79601-2452
Phone (325) 670-4333

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
I20211108002546 TX Practitioner - Nurse Practitioner 1052700390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abilene Dermatology and Skin Surgery Center PCGroup PAC ID 0143306498, 5 clinicians

Practice addresses (Care Compare)

3190 Antilley Rd
Abilene, TX 79606-5006
Phone (325) 672-9211

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as individual
Quality
98.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1057913TXMDFamily Nurse Practitioner
787986TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Dermatology and Skin Surgery Center PC CurrentSince Dec 26, 2023 Accepting new patients
Craig D. Urban, MD PA PastSince Dec 26, 2023 Accepting new patients

Locations

3190 Antilley Rd
Abilene, TX 79606
Phone (325) 672-5603

Interoperability endpoints

  • Direct secure messaging: juliecarroll@abilenederm.emadirect.md

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.

Hospital & facility affiliations 1

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1316601628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PINE ST STE 501",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012452",
            "telephone_number": "325-670-4333",
            "fax_number": "325-670-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065006",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "787986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.