CARLY SUE CANO (FNPC) – Family Nurse Practitioner, NPI 1336867472

CARLY SUE CANO (FNPC) is a healthcare provider. based in Childress, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNPC. They hold a License No. F08220631 (TX). The NPI Number for CARLY SUE CANO (FNPC) is 1336867472

Main info

Female
Sole Proprietor
Name
CARLY SUE CANO (FNPC)
NPI
1336867472
Phone
(806) 205-0871
Address
402 AVENUE H NW
Enumeration Date
15 August 2022
Last Update Date
15 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for CARLY SUE CANO (FNPC)

  • 402 AVENUE H NW

    CHILDRESS, TX 792013037

    Phone: (806) 205-0871

    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)

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: 2023-11-15

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
I20231115001761INurse 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 79201)

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Reviews

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Frequently asked questions

Can I use this page to confirm CARLY SUE CANO (FNPC)'s NPI?
Yes. CARLY SUE CANO (FNPC) is listed with NPI 1336867472 in the public NPI dataset.
Can I rely on CARLY SUE CANO (FNPC) being an active provider?
As of the registry snapshot, CARLY SUE CANO (FNPC) is marked active.
What is CARLY SUE CANO (FNPC) best known for clinically?
Directory data describes CARLY SUE CANO (FNPC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CARLY SUE CANO (FNPC) list a practice location?
Patients near Childress, Texas may find CARLY SUE CANO (FNPC) in results; validate coverage separately.
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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