Individual provider Active NPI

Nancy Njenga Carson

  • Gerontology Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1477021269
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP138543 Issued in TX
Practice address
900 Swan Ridge Dr
Sherman, TX 75092-8418
Phone
(903) 209-8813
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP138543 TX Primary

Addresses

Primary practice location

900 Swan Ridge Dr
Sherman, TX 75092-8418

Mailing address

500 N Highland Ave Ste 222
Sherman, TX 75092-7354
Phone (903) 209-8813

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
I20190409002001 TX Practitioner - Nurse Practitioner 9335480953 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Texas, PA CurrentSince May 1, 2021 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Highland MD Group Past Accepting new patients

Locations

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N Highland Ave
Sherman, TX 75092
Phone (903) 328-2029

500 N Highland Ave
Ste 222
Sherman, TX 75092

1810 W US Highway 82
Sherman, TX 75092
Phone (903) 870-2600

Interoperability endpoints

  • Direct secure messaging: nancycarson@wnjrmc.allscriptsdirect.net

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1477021269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIGHLAND AVE STE 222",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927354",
            "telephone_number": "903-209-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SWAN RIDGE DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750928418",
            "telephone_number": "903-209-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "NANCY",
        "middle_name": "NJENGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP138543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.