CAROLYN JANE BOGAN FNP-BC
NPI 1770995649
Nurse Practitioner - Family in Irving, TX
About Carolyn Jane Bogan Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN JANE BOGAN FNP-BC (NPI 1770995649) is an individual family provider in Irving, Texas, licensed in Texas (AP125985) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lorena.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn Jane Bogan Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Bogan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Georgetown, TX 78626
- Reassigned Medicare billing, Texas enrollment
- 241 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 75038 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVING, TX 75038
IRVING, TX 75038
IRVING, TX 75038
IRVING, TX 75038
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 Carolyn Bogan's NPI number?
The NPI number for Carolyn Bogan is 1770995649. It was assigned to this individual provider in the NPPES registry on May 28, 2014. The provider is also known as Carolyn Jane Hablitzel.
Where is Carolyn Bogan located?
Carolyn Bogan practices at 6363 N State Highway 161 Ste 100, Irving, TX 75038. The listed phone number is (469) 200-3272.
What is Carolyn Bogan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Bogan enrolled in Medicare?
Yes. Carolyn Bogan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Bogan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Bogan reassigns Medicare benefits to Ucp Physicians Of Central Texas, PLLC (Georgetown, TX). The 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 Carolyn Bogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carolyn Bogan was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Carolyn Jane Bogan, FNP-BC · NPI 1770995649
Family physician in Irving, Texas. Individual provider, active in the CMS NPPES registry since May 28, 2014.
## Identity
- **NPI:** 1770995649 (Entity type: Individual)
- **Enumerated:** May 28, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP125985 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6363 N STATE HIGHWAY 161 STE 100, Irving, TX 75038-2239
- **Phone:** (469) 200-3272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ucp Physicians Of Central Texas, PLLC (NPI 1922289412, Georgetown, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770995649) · Data from the CMS NPPES public registry.