HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) – Nurse Practitioner, NPI 1104536796

HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) is a healthcare provider. based in Decatur, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, CRNP, FNP-C. They hold a License No. 1158233 (TX). The NPI Number for HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) is 1104536796

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C)
NPI
1104536796
Phone
(940) 626-8073
Address
902 PRESKITT RD STE 600
Enumeration Date
5 December 2022
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9406268073
Graduation Year
2022 (4 years ago)
PAC ID
8628513454
Group Practice PAC ID
6002194388
Professional Enrollment ID
I20240716003251
Address ID
TX762344101DE902XXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C)

  • 902 PRESKITT RD STE 600

    DECATUR, TX 762344120

    Phone: (940) 626-8073

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,140.

Total Amount is formed as General ($2,140) + Research ($0) + Ownership ($0) = $2,140.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dexcom, Inc. ($876).

Total Amount

$2,140

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240716003251INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76234)

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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: 6002194388View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerNM
R H E U M A T O L O G YTX
R H E U M A T O L O G YTX
Nurse PractitionerTX
Rheumatology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) with NPI 1104536796.
Is HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) still practicing?
HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C)?
For research purposes, treat HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) on a map?
Expect Decatur, Texas as a primary anchor for HEATHERENE HUGHES CARLISLE (MSN, CRNP, FNP-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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