MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) – Acute Care Nurse Practitioner, NPI 1700403276

MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) is a healthcare provider. based in Greenville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC,FNP-C, RNFA. They hold a License No. 741285 (TX). The NPI Number for MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) is 1700403276

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA)
NPI
1700403276
Phone
(903) 408-0860
Address
500 BAYLOR DR
Enumeration Date
1 July 2020
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034085112
Graduation Year
2021 (5 years ago)
PAC ID
1355745449
Group Practice PAC ID
5395658934
Professional Enrollment ID
I20210811003617
Address ID
TX754017852GR4215XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA)

  • 500 BAYLOR DR

    GREENVILLE, TX 754028005

    Phone: (903) 408-0860

    Type: Mailing

  • 500 BAYLOR DR APT SUITE

    GREENVILLE, TX 754028005

    Phone: (903) 408-0860

    Type: Location

  • 4211 JOE RAMSEY BLVD E STE 100

    GREENVILLE, TX 754017856

    Phone: (903) 408-7768

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $664.

Total Amount is formed as General ($664) + Research ($0) + Ownership ($0) = $664.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Biotech, Inc. ($139).

Total Amount

$664

General + Research + Ownership

Payments

22

Total payment records

General Amount

$664

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2021-08-11

PECOS data refreshed: 2026-06-15

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
I20210811003617INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg23,61836$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg67297$0
99213Established patient office or other outpatient visit, 20-29 minutes358227$0
20610Aspiration and/or injection of fluid from large joint288179$0
99214Established patient office or other outpatient visit, 30-39 minutes6156$0
View full utilization report →

Insurance plans in this area (ZIP 75402)

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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: 5395658934View full group profile
NameSpecialtyState
Surgical OncologyTX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Medical Oncology, Internal MedicineTX
Internal Medicine, Medical OncologyTX
Surgical Oncology, General SurgeryTX
Radiation OncologyTX
-TX
-TX
Gynecological Oncology, Obstetrics/GynecologyTX

Reviews

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Frequently asked questions

Can I verify MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) with an NPI only?
You can start verification with NPI 1700403276 for MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA), then check state licensing separately.
Can I rely on MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) being an active provider?
As of the registry snapshot, MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) is marked active.
What is MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA)'s specialty?
The listing groups MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) list a practice location?
Patients near Greenville, Texas may find MRS. CAROLYN LISA FRY (ACNP-BC,FNP-C, RNFA) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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