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NANCY NJENGA CARSON
NPI 1477021269
Nurse Practitioner - Gerontology in Sherman, TX

Active since November 09, 2018PECOS Enrolled
900 SWAN RIDGE DR, SHERMAN, TX 75092(903) 209-8813 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2019, Nov 9, 2018 (2 updates tracked since 2018).

About Nancy Njenga Carson NPPES

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

NANCY NJENGA CARSON (NPI 1477021269) is an individual gerontology provider in Sherman, Texas, licensed in Texas (AP138543) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477021269
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNANCY NJENGA CARSON
Location Address900 SWAN RIDGE DRSherman, TX 75092-8418
Mailing Address500 N Highland Ave Ste 222Sherman, TX 75092-7354 · (903) 209-8813
Phone(903) 209-8813
Sole ProprietorNo
Enumeration DateNovember 9, 2018
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1477021269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · AP138543
900 SWAN RIDGE DR, Sherman, TX 75092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Njenga Carson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nancy Carson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland MD Group
2.2 mi
Internal Medicine
425 N HIGHLAND AVE STE 120
Sherman, TX 75092
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1366236531 (903) 871-5671
Medical Associates Of Texas, PA
33 mi
Internal Medicine
2215 LORING DR
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1548663651 (972) 332-8362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
105 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Nancy Carson's NPI number?

The NPI number for Nancy Carson is 1477021269. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Nancy Carson located?

Nancy Carson practices at 900 Swan Ridge Dr, Sherman, TX 75092. The listed phone number is (903) 209-8813.

What is Nancy Carson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nancy Carson enrolled in Medicare?

Yes. Nancy Carson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nancy Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Carson reassigns Medicare benefits to 2 organizations: Highland MD Group (Sherman, TX) and Medical Associates Of Texas, PA (Allen, 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 Nancy Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Carson accept?

Health plans from Blue Cross and Blue Shield of Texas list Nancy Carson 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 Nancy Carson was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.