Individual provider Active NPI

Charisse Velarde

  • Adult Health Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1255819827
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP138348 Issued in TX
Practice address
17201 I H 45 S
Shenandoah, TX 77385-3311
Phone
(936) 270-2099
NPI assigned
Aug 5, 2018
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 363LA2200X TX
Acute Care Nurse Practitioner 363LA2100X AP138348 TX
Adult Health Nurse Practitioner 363LA2200X AP138348 TX Primary

Addresses

Primary practice location

17201 I H 45 S
Shenandoah, TX 77385-3311

Mailing address

17201 I H 45 S
Shenandoah, TX 77385-3311
Phone (936) 270-2099

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
I20200414000987 TX Practitioner - Nurse Practitioner 0749610897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363LA2200XTXMDAcute Care Nurse Practitioner
AP138348TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Single Specialty CurrentSince Nov 28, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 27, 2021 Accepting new patients
Live Well Medical Care PLLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
TMH Physician Associates PLLC Single Specialty CurrentSince Sep 27, 2021 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

150 Pine Forest Dr
Ste 802
Shenandoah, TX 77384
Phone (214) 906-0204

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

Interoperability endpoints

  • Direct secure messaging: cvelarde385089@directhoustonmethodist.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1255819827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 I H 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853311",
            "telephone_number": "936-270-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 I H 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853311",
            "telephone_number": "936-270-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "CHARISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "363LA2200X",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP138348",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP138348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.