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POONAM MISRA
NPI 1013444389
Nurse Practitioner - Family in Carrollton, TX

Active since May 17, 2017Opted out of Medicare · through Apr 1, 2027
4325 N JOSEY LANE, CARROLLTON, TX 75010(469) 574-2022 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Jul 21, 2022, May 17, 2017 (3 updates tracked since 2017).

About Poonam Misra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POONAM MISRA (NPI 1013444389) is an individual family provider in Carrollton, Texas, licensed in Texas (AP133988) and active in the NPI registry since May 2017. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1013444389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOONAM MISRA
Location Address4325 N JOSEY LANECarrollton, TX 75010
Mailing Address4325 N Josey LnCarrollton, TX 75010-4635 · (469) 574-2022
Phone(469) 574-2022
Sole ProprietorYes
Enumeration DateMay 17, 2017
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1013444389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133988
4325 N JOSEY LANE, Carrollton, TX 75010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Poonam Misra has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poonam Misra's NPI number?

The NPI number for Poonam Misra is 1013444389. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Poonam Misra located?

Poonam Misra practices at 4325 N Josey Lane, Carrollton, TX 75010. The listed phone number is (469) 574-2022.

What is Poonam Misra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Poonam Misra enrolled in Medicare?

No. Poonam Misra has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Poonam Misra was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.