NPIMap

Individual provider Active NPI

Deborah Ann Carlisle, CRNP

  • Family Nurse Practitioner
  • Demopolis, AL
National Provider Identifier
1497993950
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-064520 Issued in AL
Practice address
951 US Highway 80 W
Demopolis, AL 36732-4102
Phone
(334) 289-9982
Fax
(334) 287-0479
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-064520 AL Primary

Addresses

Primary practice location

951 US Highway 80 W
Demopolis, AL 36732-4102

Mailing address

PO Box 306
Demopolis, AL 36732-0306
Phone (334) 289-9982

Other identifiers 1

IdentifierTypeStateIssuer
051009367OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

Other names 1

  • Mrs. Deborah A Chase Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160121002053 AL Practitioner - Nurse Practitioner 5294038493 Reassigns benefits to 3 organizations
I20240416000715 TX Practitioner - Nurse Practitioner 5294038493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hale County HospitalGroup PAC ID 3375528169, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

508 Greene St
Greensboro, AL 36744-2316
Phone (334) 624-3024

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hale County Hospital CurrentSince Dec 14, 2015 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 11, 2024 Accepting new patients
Hale County Hospital CurrentSince Mar 1, 2016 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Hale County Hospital CurrentSince Dec 14, 2015 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 11, 2024 Accepting new patients
Ronnie T Chu MD P C CurrentSince Apr 9, 2018 Accepting new patients
Wrangell Medical Center Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Hale County Hospital Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

508 Greene St
Greensboro, AL 36744
Phone (334) 624-3024

508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024

40870 AL Highway 69
Ste A
Moundville, AL 35474
Phone (205) 371-4444

Interoperability endpoints

  • Direct secure messaging: dcarlisle@direct-searhc.org
  • Direct secure messaging: deborah.carlisle.1@12717.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1497993950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367320306",
            "telephone_number": "334-289-9982",
            "fax_number": "334-287-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 US HIGHWAY 80 W",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324102",
            "telephone_number": "334-289-9982",
            "fax_number": "334-287-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-064520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "051009367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CHASE",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Demopolis, AL

Sources for this page

Verify at the official NPI Registry.