Shenella Latosha Carlisle, CRNP - Medicare Nurse Practitioner in Camden, AL

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Shenella Latosha Carlisle, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Camden, Alabama. Her current practice location is 550 Ponderosa Dr, Camden, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 213-8803.

Shenella Latosha Carlisle is licensed to practice in Kansas (license number 5381050071) 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 1235641267.

Contact Information

Shenella Latosha Carlisle, CRNP
550 Ponderosa Dr,
Camden, AL 36726-2313
(334) 213-8803
Not Available

Map and Direction




Provider's Profile

Full NameShenella Latosha Carlisle
GenderFemale
SpecialityNurse Practitioner - Family
Location550 Ponderosa Dr, Camden, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235641267
  • Provider Enumeration Date: 10/31/2017
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921353400
  • Enrollment ID: I20180625002524

Medical Identifiers

Medical identifiers for Shenella Latosha Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235641267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1074183 (Texas)Secondary
363LF0000XNurse Practitioner - Family 1121592 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 33646 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 5381050071 (Kansas)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. Shenella Latosha Carlisle allows following entities to bill medicare on her behalf.
Entity NameInpatient Consultants Of Alabama, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235238916
PECOS PAC ID: 6709983422
Enrollment ID: O20110805000011
Entity NameAlabama Post-acute Medical Service 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073052403
PECOS PAC ID: 7416229406
Enrollment ID: O20170825002379
Entity NameNm Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20191109000048
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20240731003767

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. Shenella Latosha Carlisle 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
Shenella Latosha Carlisle, CRNP
Po Box 231396,
Montgomery, AL 36123-1396

Ph: (334) 213-8803		Shenella Latosha Carlisle, CRNP
550 Ponderosa Dr,
Camden, AL 36726-2313

Ph: (334) 213-8803

Reviews and Comments


Nurse Practitioner Nurses in Camden, AL

Anna Ray Hilburn, FNP-C
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Lauren Savannah Gray, NP
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Practice Location: 24b Camden Byp, Camden, AL 36726
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Linda Michelle Dupree, CRNP
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Practice Location: 24b Camden Byp, Camden, AL 36726
Phone: 334-882-1919    Fax: 334-636-1989

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.