CARLY LYNDELL DUNCAN
NPI 1124750278
Nurse Practitioner - Family in Shepherd, TX
About Carly Lyndell Duncan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY LYNDELL DUNCAN (NPI 1124750278) is an individual family provider in Shepherd, Texas, licensed in Texas (1085983) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carly Lyndell Duncan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carly Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shepherd, TX 77371
- Reassigned Medicare billing, Texas enrollment
- 24 clinicians in this Medicare group
Crystal City, TX 78839
- Reassigned Medicare billing, Texas enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77371 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEPHERD, TX 77371
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 Carly Duncan's NPI number?
The NPI number for Carly Duncan is 1124750278. It was assigned to this individual provider in the NPPES registry on June 28, 2022. The provider is also known as Carly Lyndell Baker Fnp-Bc.
Where is Carly Duncan located?
Carly Duncan practices at 11 Woodland Park Dr, Shepherd, TX 77371. The listed phone number is (936) 628-1100.
What is Carly Duncan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carly Duncan enrolled in Medicare?
Yes. Carly Duncan 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.
Which organizations bill Medicare for Carly Duncan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Duncan reassigns Medicare benefits to 2 organizations: Health Center Of Southeast Texas (Shepherd, TX) and Vida Y Salud-Health Systems Inc (Crystal City, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Duncan accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Carly Duncan 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 Carly Duncan was last updated on October 22, 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.
# Carly Lyndell Duncan · NPI 1124750278
Family physician in Shepherd, Texas. Individual provider, active in the CMS NPPES registry since June 28, 2022.
## Identity
- **NPI:** 1124750278 (Entity type: Individual)
- **Enumerated:** June 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1085983 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 WOODLAND PARK DR, Shepherd, TX 77371-6495
- **Phone:** (936) 628-1100 · **Fax:** (936) 628-1188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Health Center Of Southeast Texas (NPI 1346472537, Shepherd, TX); Vida Y Salud-Health Systems Inc (NPI 1770511032, Crystal City, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124750278) · Data from the CMS NPPES public registry.