Individual provider Active NPI

Nicole Chrisopulos, AGACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1063133122
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1091381 Issued in TX
Practice address
8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824
Phone
(214) 361-3300
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1091381 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824

Mailing address

14175 Dallas Pkwy Apt 1380
Dallas, TX 75254-4413
Phone (214) 537-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122003351 TX Practitioner - Nurse Practitioner 1355719337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

1100 Allied Dr
Plano, TX 75093-5348
Phone (972) 566-8855

11970 N Central Expy
Dallas, TX 75243-3768

6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (972) 969-2010

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
68.07
Promoting interoperability
99
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince Oct 30, 2022 Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12228 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 826-6044

8440 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 361-3400

3537 S Interstate 35 E
Ste 305
Denton, TX 76210

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Interoperability endpoints

  • Direct secure messaging: nicole.chrisopulos@hca7.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1063133122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 DALLAS PKWY APT 1380",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544413",
            "telephone_number": "214-537-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313824",
            "telephone_number": "214-361-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISOPULOS",
        "first_name": "NICOLE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1091381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.