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GARY CARLISLE
NPI 1417368838
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since May 20, 2014Opted out of Medicare · through Dec 17, 2027
150 E 58TH ST, 25TH FL, NEW YORK, NY 10155(212) 223-2920(212) 223-2390 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gary Carlisle NPPES

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

GARY CARLISLE (NPI 1417368838) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F401463-1) and active in the NPI registry since May 2014. He has opted out of Medicare through December 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417368838
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGARY CARLISLE
Location Address150 E 58TH ST, 25TH FLNew York, NY 10155-0002
Mailing Address150 E 58th St, 25th FlNew York, NY 10155-0002 · (212) 223-2920 · Fax (212) 223-2390
Phone(212) 223-2920
Fax(212) 223-2390
Sole ProprietorNo
Enumeration DateMay 20, 2014
Last NPPES UpdateMay 21, 2014
✔ NPI 1417368838 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 NY · F401463-1
150 E 58TH ST, New York, NY 10155
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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

Gary Carlisle 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 December 17, 2025 through December 17, 2027.

Opt-Out Effective DateDecember 17, 2025
Opt-Out In Effect ThroughDecember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10155 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NOEL ELLEN TAYLOR M.D.
Psychiatry & Neurology (Psychiatry)
150 E 58TH ST, 27TH FLOOR
NEW YORK, NY 10155
New York County (212) 888-9038
DR. RODOLFO SANCHEZ D.D.S.
Dentist (Prosthodontics)
150 E 58TH ST, SUITE 3200
NEW YORK, NY 10155
New York County (212) 752-7937
DR. LOUIS J MORLEDGE M.D.
Internal Medicine
150 E 58TH ST, 18TH FLOOR
NEW YORK, NY 10155
New York County (212) 583-2830
DR. RICHARD B. SMITH D.D.S.
Dentist
150 E 58TH ST, SUITE 3200
NEW YORK, NY 10155
New York County (212) 752-7937
BLOOMING DENTAL PLLC
Dentist
150 E 58TH ST, 8TH FLOOR ANNEX
NEW YORK, NY 10155
New York County (646) 861-2404
MELISSA I ROSADO M.D.
Physical Medicine & Rehabilitation
150 E 58TH ST, 14TH FLOOR
NEW YORK, NY 10155
New York County (212) 776-9355
DR. LAURA RUTH SILBERSTEIN PSY.D.
Psychologist (Clinical)
150 E 58TH ST, 27TH FLOOR
NEW YORK, NY 10155
New York County (201) 906-7276
SUSAN MCCONNAUGHY LCSW
Social Worker (Clinical)
150 E 58TH ST, 25TH FLOOR
NEW YORK, NY 10155
New York County (212) 995-5901

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 Gary Carlisle's NPI number?

The NPI number for Gary Carlisle is 1417368838. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Gary Carlisle located?

Gary Carlisle practices at 150 E 58th St 25th Fl, New York, NY 10155. The listed phone number is (212) 223-2920.

What is Gary Carlisle's specialty?

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

Is Gary Carlisle enrolled in Medicare?

No. Gary Carlisle has opted out of Medicare through December 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gary Carlisle was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.