Charlotte Suzanne Fox, RN, MSN, ACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Burnet, TX
NPI 1235327792 · NPPES record last updated May 5, 2016
Key facts
- NPI
- 1235327792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 606313 (TX)
- Practice address
- 200 County Road 340a
BLDG. 1, Ste. B
Burnet, TX 78611-4537 - Phone
- (512) 715-3032
- Fax
- (512) 715-3029
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seton Family of Doctors
Practice addresses (Care Compare)
1009 Falls Pkwy
Marble Falls, TX 78654-4630
Phone (512) 715-3032
11111 Research Blvd
Suite 300
Austin, TX 78759-5792
Phone (844) 448-8124
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
Hospital & facility affiliations
- Ascension Seton Highland Lakes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080611000558 | TX | Practitioner - Nurse Practitioner | 1153492608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606313 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current |
Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current |
Accepting new patients | |
| Texas Cardiovascular Consultants, PA | Past | Accepting new patients | |
| Tri-County Clinical | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
12221 N Mopac Expy
#D
Austin, TX 78758
Phone (513) 901-2503
200 John W Hoover Pkwy
Bldg 4A
Burnet, TX 78611
Phone (512) 715-3032
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1009 Falls Pkwy
Marble Falls, TX 78654
Phone (830) 637-7302
Interoperability endpoints
- charlotte.fox.1@8363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 606313 | TX | Yes |
Addresses
Primary practice location
200 County Road 340a
BLDG. 1, Ste. B
Burnet, TX 78611-4537
Mailing address
200 County Road 340a
BLDG 1 Suite B
Burnet, TX 78611-4537
Phone (512) 715-3032
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194024905 | Medicaid | TX | |
| 194024907 | Medicaid | TX | |
| 194024908 | Medicaid | TX | |
| 8100NM | Other | TX | BCBS |
Other names
- Charlie Fox Simpson
Other providers in Burnet, TX
- Dungarvin Texas, LLC
- Dungarvin Texas, LLC
- Carie Danielle Fansler
- Joseph Ferguson
- Charles Richard Fox
- Charles Michael Franz
- Gennisi LLC
- Brooke Gilmore
- Melissa Davis Graham
- Robert A Graves
All providers in Burnet, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.