KATHRYN MACKENZIE CARLISLE MD
NPI 1952005142
Student in an Organized Health Care Education/Training Program in Wynnewood, PA
About Kathryn Mackenzie Carlisle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN MACKENZIE CARLISLE MD (NPI 1952005142) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Mackenzie Carlisle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Kathryn Carlisle's NPI number?
The NPI number for Kathryn Carlisle is 1952005142. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Kathryn Carlisle located?
Kathryn Carlisle practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-2000.
What is Kathryn Carlisle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kathryn Carlisle enrolled in Medicare?
Yes. Kathryn Carlisle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathryn Carlisle was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kathryn Mackenzie Carlisle, MD · NPI 1952005142
Student in an Organized Health Care Education/Training Program provider in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1952005142 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LANCASTER AVE, Wynnewood, PA 19096-3450
- **Phone:** (484) 476-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 30, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1952005142) · Data from the CMS NPPES public registry.