Mrs Carlissa Marie Evans, NP - Medicare Nurse Practitioner in Irving, TX

Mrs Carlissa Marie Evans, NP is a medicare enrolled "Nurse Practitioner" in Irving, Texas. Her current practice location is 4545 Fuller Dr Ste 325, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 870-5511.

Mrs Carlissa Marie Evans is licensed to practice in Texas (license number 800411) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104114727.

Contact Information

Mrs Carlissa Marie Evans, NP
4545 Fuller Dr Ste 325,
Irving, TX 75038-6530
(972) 870-5511
(972) 870-5512

Map and Direction




Provider's Profile

Full NameMrs Carlissa Marie Evans
GenderFemale
SpecialityNurse Practitioner
Location4545 Fuller Dr Ste 325, Irving, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104114727
  • Provider Enumeration Date: 07/17/2011
  • Last Update Date: 12/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183899479
  • Enrollment ID: I20111215000277

Medical Identifiers

Medical identifiers for Mrs Carlissa Marie Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104114727NPI-NPPES
288256502MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 800411 (Texas)Secondary
363LF0000XNurse Practitioner - Family 800411 (Texas)Secondary
363L00000XNurse Practitioner 800411 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Carlissa Marie Evans allows following entities to bill medicare on her behalf.
Entity NameVpa Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameIah Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487051231
PECOS PAC ID: 8921323825
Enrollment ID: O20150218000720

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carlissa Marie Evans is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carlissa Marie Evans, NP
Po Box 1239,
Troy, MI 48099-1239

Ph: () -
Mrs Carlissa Marie Evans, NP
4545 Fuller Dr Ste 325,
Irving, TX 75038-6530

Ph: (972) 870-5511

Reviews and Comments


Nurse Practitioner Nurses in Irving, TX

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Phone: 972-253-5000    Fax: 972-253-1109
Esther Boro,
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Phone: 214-631-9992    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.