SHENELLA LATOSHA CARLISLE (CRNP) – Family Nurse Practitioner, NPI 1235641267

SHENELLA LATOSHA CARLISLE (CRNP) is a healthcare provider. based in Camden, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1121592 (AL). The NPI Number for SHENELLA LATOSHA CARLISLE (CRNP) is 1235641267

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHENELLA LATOSHA CARLISLE (CRNP)
NPI
1235641267
Phone
(334) 213-8803
Address
550 PONDEROSA DR
Enumeration Date
31 October 2017
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3344180566
Graduation Year
2016 (10 years ago)
PAC ID
8921353400
Group Practice PAC ID
3779708649
Professional Enrollment ID
I20180625002524
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:8State licenses:4Digital endpointsOther names

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Provider Addresses for SHENELLA LATOSHA CARLISLE (CRNP)

  • 550, Ponderosa Drive, Camden, Wilcox County, Alabama, 36726, United States

    CAMDEN, AL 367262313

    Phone: (334) 213-8803

    Type: Location

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361231396

    Phone: (334) 213-8803

    Fax: (334) 213-8815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180625002524INurse PractitionerALTBD
I20220324002272INurse PractitionerMOTBD
I20220601001879INurse PractitionerTXTBD
I20221227001081INurse PractitionerKSTBD
I20230223000322INurse PractitionerILTBD
I20230726002179INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2313$0
View full utilization report →

Insurance plans in this area (ZIP 36726)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779708649View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SHENELLA LATOSHA CARLISLE (CRNP) for billing?
Administrative and clinical systems typically use NPI 1235641267 for SHENELLA LATOSHA CARLISLE (CRNP).
Is SHENELLA LATOSHA CARLISLE (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists SHENELLA LATOSHA CARLISLE (CRNP) as active.
How should patients interpret SHENELLA LATOSHA CARLISLE (CRNP)'s specialty?
The extract shows Family Nurse Practitioner for SHENELLA LATOSHA CARLISLE (CRNP). Clinical services aligned with this taxonomy classification.
Which community is linked to SHENELLA LATOSHA CARLISLE (CRNP)?
SHENELLA LATOSHA CARLISLE (CRNP) shows a connection to Camden, Alabama in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.