MS. CAROLINE ELISE MCBRYDE – Physician Assistant, NPI 1134848849

MS. CAROLINE ELISE MCBRYDE is a healthcare provider. based in Canadian, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA18375 (TX). The NPI Number for MS. CAROLINE ELISE MCBRYDE is 1134848849

Main info

Female
Sole Proprietor
Accepts Medicare Assignment
Name
MS. CAROLINE ELISE MCBRYDE
NPI
1134848849
Phone
Not provided
Address
403 S 6TH ST
Enumeration Date
25 August 2022
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
null (2026 years ago)
PAC ID
5890203756
Group Practice PAC ID
0143112805
Professional Enrollment ID
I20250801002449
Address ID
TX790220000DAPOXXXBOXX203
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. CAROLINE ELISE MCBRYDE

  • 403 S 6TH ST

    CANADIAN, TX 790143114

    Phone:

    Type: Mailing

  • TEXAS TECH HEALTH SCIENCE CENTER 3600 N. GARFIELD

    MIDLAND, TX 79705

    Phone: (432) 620-1120

    Type: Location

  • 206 EAST 16T ST.

    DALHART, TX 79022

    Phone:

    Type: Mailing

  • 206 E 16TH ST

    DALHART, TX 790224802

    Phone: (806) 244-5668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-01

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
I20250801002449IPhysician AssistantTXTBD

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 79014)

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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: 0143112805View full group profile
NameSpecialtyState
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)NY
Family PracticeTX
Family PracticeTX
-TX
-FL
-TX
Certified Nurse Midwife (Cnm)TX
Family PracticeFL
Family Practice, Geriatric MedicineCO

Reviews

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Frequently asked questions

What number should I use to identify MS. CAROLINE ELISE MCBRYDE for billing?
Administrative and clinical systems typically use NPI 1134848849 for MS. CAROLINE ELISE MCBRYDE.
Is MS. CAROLINE ELISE MCBRYDE's NPI status active today?
Active status means MS. CAROLINE ELISE MCBRYDE's NPI record is not deactivated in the public file.
How should patients interpret MS. CAROLINE ELISE MCBRYDE's specialty?
The extract shows Physician Assistant for MS. CAROLINE ELISE MCBRYDE. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. CAROLINE ELISE MCBRYDE?
MS. CAROLINE ELISE MCBRYDE is associated with Canadian, Texas in the same public data insurers reference.
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.

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