NPIMap

Individual provider Active NPI

Iliana J Carpenter, PA

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1841307816
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01810 Issued in NC
Practice address
6417 Central Park Blvd
Abilene, TX 79606-5884
Phone
(325) 695-6370
Fax
(325) 695-1505
NPI assigned
Aug 24, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 562 TN
Physician Assistant 363A00000X 0010-01810 NC Primary

Addresses

Primary practice location

6417 Central Park Blvd
Abilene, TX 79606-5884

Mailing address

3223 County Road 389
Anson, TX 79501-4939
Phone (325) 695-6370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809000768 TX Practitioner - Physician Assistant 7416857081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

4700 Alliance Blvd
Plano, TX 75093-5323

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
91.7
Promoting interoperability
76
Improvement activities
40
Cost
63.99

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1129KYMDSocial Worker
0010-01810NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 9, 2025 Accepting new patients
Hendrick Provider Network CurrentSince May 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 9, 2025 Accepting new patients
Communities of Texas Healthcare, LLP CurrentSince Jul 31, 2023 Accepting new patients
Anesthesia Webb, PLLC Past Accepting new patients
Vanderbilt Integrated Providers, LLC Physician Assistant Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

6417 Central Park Blvd
Abilene, TX 79606
Phone (325) 695-6370

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: icarpenter1426968@direct.sw.org

Organizations & group practices 9

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 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1841307816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 COUNTY ROAD 389",
            "city": "ANSON",
            "state": "TX",
            "postal_code": "795014939",
            "telephone_number": "325-695-6370",
            "fax_number": "325-695-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 CENTRAL PARK BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065884",
            "telephone_number": "325-695-6370",
            "fax_number": "325-695-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ILIANA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "562",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.