MARY GRACE CARLISLE CNP
NPI 1104524875
Nurse Practitioner - Psychiatric/Mental Health in Westerville, OH

Active since February 21, 2023PECOS EnrolledAccepts Medicare Assignment
670 MERIDIAN WAY STE 165, WESTERVILLE, OH 43082(614) 906-3223 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Feb 21, 2023 (2 updates tracked since 2023).

About Mary Grace Carlisle Cnp NPPES

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

MARY GRACE CARLISLE CNP (NPI 1104524875) is an individual psychiatric/mental health provider in Westerville, Ohio, licensed in Ohio (0033321) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104524875
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY GRACE CARLISLECredential: CNP
Location Address670 MERIDIAN WAY STE 165Westerville, OH 43082-2302
Mailing Address670 Meridian Way Ste 165Westerville, OH 43082-2302 · (614) 906-3223 · Fax (614) 639-8162
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 21, 2023
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1104524875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · 0033321
670 MERIDIAN WAY STE 165, Westerville, OH 43082

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Grace Carlisle Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517332430
PECOS Enrollment IDI20230406002444
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Carlisle's NPI number?

The NPI number for Mary Carlisle is 1104524875. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Mary Carlisle located?

Mary Carlisle practices at 670 Meridian Way Ste 165, Westerville, OH 43082. The listed phone number is (614) 906-3223.

What is Mary Carlisle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Carlisle enrolled in Medicare?

Yes. Mary Carlisle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Carlisle accept?

Health plans from MedMutual, Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Mary Carlisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Carlisle was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.