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

Mary Grace Carlisle, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104524875

Mary Grace Carlisle, CNP is a Nurse Practitioner in Westerville, Ohio. Qualified in 2022, 4 years ago. Practices with Woodstream Wellness, a 53-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

670 Meridian Way Ste 165
Westerville, OH 43082-2302
Phone: (614) 906-3223
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0033321 (OH)

Record details

NPI number1104524875
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESAugust 5, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Woodstream Wellness — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Westerville