Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addie Elizabeth Carlyle

Individual provider Family Nurse Practitioner · NPI 1336997691

Addie Elizabeth Carlyle is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2023, 3 years ago. Practices with Heartland Weight Loss Clinic, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

3095 Lexington Ave Ste 200
Cape Girardeau, MO 63701-2629
Phone: (573) 987-5355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023026241 (MO)

Record details

NPI number1336997691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Heartland Weight Loss Clinic, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cape Girardeau