Individual provider Active NPI

Carla Hay Perdue, NP

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1407894223
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP103488 Issued in TX
Practice address
202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone
(940) 328-6521
Fax
(940) 328-7501
NPI assigned
Jun 3, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 236706 TX
Family Nurse Practitioner 363LF0000X AP103488 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6521

Other identifiers 2

IdentifierTypeStateIssuer
284707YMYXOtherTXMEDICARE PTAN
284707YMC1OtherTXMEDICARE PTAN

Other names 1

  • Carla Jean Hay Former name

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
I20070612000119 TX Practitioner - Nurse Practitioner 2163339029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

101 Holly Hill Rd
Suite B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

202 SW 25TH Ave
Mineral Wells, TX 76067-8462

202 SW 25TH Ave
1200 Palo Pinto Urology
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

202 SW 25TH Ave
300 Palo Pinto General Hospital
Mineral Wells, TX 76067-8242
Phone (940) 328-6521

202 SW 25TH Ave
800 Palo Pinto Cares for Kids
Mineral Wells, TX 76067-8460
Phone (940) 328-7588

202 SW 25TH St
800 Palo Pinto General Hospital Pulmonology
Mineral Wells, TX 76067-8460
Phone (940) 328-7586

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP103488TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family CurrentSince Apr 20, 2013 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Nurse Practitioner CurrentSince Apr 20, 2013 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

118 S Main St
Gordon, TX 76453
Phone (254) 693-5211

200 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6239

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1407894223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "CARLA",
        "middle_name": "HAY",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "236706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP103488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "284707YMYX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "284707YMC1",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "HAY",
            "middle_name": "JEAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.