Individual provider Active NPI

Charlece Hughes, D.O.

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1326039215
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L5773 Issued in TX
Practice address
1307 8TH Ave
#408
Fort Worth, TX 76104-4137
Phone
(817) 921-4191
Fax
(817) 429-7783
NPI assigned
Oct 31, 2005
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DR.0069507 CO
Neurology Physician 2084N0400X L5773 TX Primary

Addresses

Primary practice location

1307 8TH Ave
#408
Fort Worth, TX 76104-4137

Mailing address

1307 8TH Ave
#408
Fort Worth, TX 76104-4137
Phone (817) 921-4191

Other practice location 1

2315 E Harmony Rd Ste 110
Fort Collins, CO 80528-8623
Phone (970) 482-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051026000562 TX Practitioner - Neurology 5799702080 Reassigns benefits to 1 organization
I20221006000209 CO Practitioner - Neurology 5799702080 Reassigns benefits to 1 organization
I20240227003462 OK Practitioner - Neurology 5799702080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Texas HSC, College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Neuroscience PAGroup PAC ID 5991737926, 3 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1307 8TH Ave
Suite 608
Fort Worth, TX 76104-4109
Phone (817) 921-4191

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L5773TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Feb 5, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
St. John Physicians, Inc. Neurology CurrentSince Feb 5, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 6, 2022 Accepting new patients
Clinical Neuroscience PA Neurology CurrentSince Oct 1, 2005 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2315 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 212-7600

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1307 8th Ave
Ste 408
Ft Worth, TX 76104
Phone (800) 650-4990

1307 8th Ave
Ste 608
Ft Worth, TX 76104
Phone (817) 921-4191

Interoperability endpoints

  • Direct secure messaging: charlece.hughes.1@9382.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9382/brand/1/csg/1/fhir/r4

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 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1326039215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "#408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-921-4191",
            "fax_number": "817-429-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "#408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-921-4191",
            "fax_number": "817-429-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 E Harmony Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805288623",
            "country_code": "US",
            "telephone_number": "970-482-4373",
            "fax_number": "970-484-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CHARLECE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0069507",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.