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Sarah Elizabeth Carlisle, FNP-C

Nurse Practitioner in Canyon, TX. Individual provider (NPI-1).

NPI number1962010892
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1962010892
Entity type
Individual (NPI-1)
Name
Sarah Elizabeth Carlisle
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2020
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner1003517TXYes

Practice location

1619 4th Ave
Canyon, TX 79015-3824

Phone 806-557-4674

Mailing address

1619 4th Ave
Canyon, TX 79015-3824

Phone 806-557-4674

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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