Carrie Ellen Brunson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1089880 Issued in TX

Practice address

304 S 22ND St
Temple, TX 76501-4726

Phone

(254) 298-7137

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Ellen Parker Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Counties Center for Mental Health and Mental Retardation SRVSGroup PAC ID 1658341359, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Counties Center for Mental Health & Mental Retardation SRVS

  • Mental Health Counselor
  • Temple, TX
  • NPI 1356310585
  Medicare reassignment Care Compare group NPD
• Central Counties Center for Mental Health & Mental Retardation SRVS

  • Family Medicine Physician
  • Temple, TX
  • NPI 1023501939
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1558072439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-298-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-298-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "CARRIE",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1089880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "PARKER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Renee Brumley, R.D., C.D.E
• Christopher James Brunell, PA-C, RRT
• Rebekah Exley Brunell, PHARM D
• Wayne Morgan Bruner, M. D.
• Paige Elizabeth Bruning, PA
• Sandra Brupbacher, SLP
• Christopher Bryant, M.D.
• Scott A Bryant, D.D.S.
• William P. Bryant, M.D.
• Allison Lauren Bryce, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.